Provider Demographics
NPI:1922295849
Name:JEFFREY G SAVRAN DPM PA
Entity Type:Organization
Organization Name:JEFFREY G SAVRAN DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:G
Authorized Official - Last Name:SAVRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-852-8950
Mailing Address - Street 1:9858 GLADES RD STE D5
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3982
Mailing Address - Country:US
Mailing Address - Phone:561-852-8950
Mailing Address - Fax:561-883-9965
Practice Address - Street 1:9858 GLADES RD STE D5
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3982
Practice Address - Country:US
Practice Address - Phone:561-852-8950
Practice Address - Fax:561-883-9965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1202213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCS8902OtherRR MEDICARE
FL0296228-00Medicaid
FL39575Medicare PIN
FLCS8902OtherRR MEDICARE