Provider Demographics
NPI:1861827214
Name:SAKLA, ANDREW (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:SAKLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 HIGHLAND WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9409
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7523 DUNBRIDGE DR
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-2271
Practice Address - Country:US
Practice Address - Phone:727-210-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.2327207R00000X
IL036.148872207R00000X
KY04809207R00000X
KS05-43760207R00000X
IADO-05075207R00000X
IN02006145A207R00000X
LA324077207R00000X
GA78730207R00000X
CA18058207R00000X
ARE-13340207R00000X
DCDO034895207R00000X
CT66855207R00000X
CODR.0063114207R00000X
AZ008699207R00000X
FLOS12612207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine