Provider Demographics
NPI:1134416852
Name:SAVILLE, PHILIP ALBERT (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:ALBERT
Last Name:SAVILLE
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 1:300 VILLAGE SQUARE XING STE 201
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3223
Mailing Address - Country:US
Mailing Address - Phone:561-630-3870
Mailing Address - Fax:561-630-3680
Practice Address - Street 1:300 VILLAGE SQUARE XING STE 201
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3223
Practice Address - Country:US
Practice Address - Phone:561-630-3870
Practice Address - Fax:561-630-3680
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136768207XS0117X
PAMT199660390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program