Provider Demographics
NPI:1902808462
Name:SAX, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:SAX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8451 SHADE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2878
Mailing Address - Country:US
Mailing Address - Phone:941-360-2477
Mailing Address - Fax:941-360-2577
Practice Address - Street 1:8451 SHADE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2878
Practice Address - Country:US
Practice Address - Phone:941-360-2477
Practice Address - Fax:941-360-2577
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME83474207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL593760877OtherTAX ID
FL06331OtherBCBS
FL70016313OtherMEDICARE RR
FL06331YMedicare ID - Type Unspecified
FL70016313OtherMEDICARE RR