Organization
UNIVERSITY PARK DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SAX MD (OWNER)
(941) 360-2477
Entity
Organization
Contact information
Practice address
8451 SHADE AVE, SUITE 205, SARASOTA, FL 34243-2878
(941) 360-2477
(941) 360-2577
Mailing address
8451 SHADE AVE, SUITE 205, SARASOTA, FL 34243-2878
(941) 360-2477
(941) 360-2577
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME83476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06331
GROUP BC NUMBER
FL
Enumeration date
08/10/2006
Last updated
12/17/2021
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