Provider Demographics
NPI:1316976475
Name:SAYETTA, RONA BETH (MD)
Entity type:Individual
Prefix:DR
First Name:RONA
Middle Name:BETH
Last Name:SAYETTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 WEST CAMINO ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5519
Mailing Address - Country:US
Mailing Address - Phone:561-391-5110
Mailing Address - Fax:
Practice Address - Street 1:7300 WEST CAMINO ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5519
Practice Address - Country:US
Practice Address - Phone:561-391-5110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0060951174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
E74733Medicare UPIN
FL45045Medicare ID - Type Unspecified