Provider Demographics
NPI: | 1811000391 |
---|---|
Name: | SAVIN, ANDREW L (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | ANDREW |
Middle Name: | L |
Last Name: | SAVIN |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 8200 S JOG RD |
Mailing Address - Street 2: | SUITE 102 |
Mailing Address - City: | BOYNTON BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33472-2981 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 561-793-4489 |
Mailing Address - Fax: | 847-816-3166 |
Practice Address - Street 1: | 2465 SR 7 |
Practice Address - Street 2: | SUITE 800 |
Practice Address - City: | BOYNTON BEACH |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33472-2981 |
Practice Address - Country: | US |
Practice Address - Phone: | 561-793-4489 |
Practice Address - Fax: | 847-816-3166 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-08-17 |
Last Update Date: | 2022-04-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | ME120120 | 207R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
04930281 | Other | BLUE CROSS BLUE SHIELD | |
F52518 | Medicare UPIN | ||
04930281 | Other | BLUE CROSS BLUE SHIELD | |
916950 | Medicare PIN | ||
04930281 | Other | BLUE CROSS BLUE SHIELD | |
110233103 | Medicare PIN |