Provider Demographics
NPI:1770572646
Name:SAFFEL, DANA (PHARMD, DPH, CGP)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:SAFFEL
Suffix:
Gender:F
Credentials:PHARMD, DPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 SEA WINDS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-8721
Mailing Address - Country:US
Mailing Address - Phone:770-366-3632
Mailing Address - Fax:
Practice Address - Street 1:230 SEA WINDS DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-8721
Practice Address - Country:US
Practice Address - Phone:770-366-3632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA158661835G0303X
TNTN 56171835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric