Organization
TEW A SAK MD PA
Active
Parent organization
TEW A SAK MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEW A SAK MD PA
Authorized official
DR. TEW A SAK MD (PRESIDENT)
(813) 782-4113
Entity
Organization
Contact information
Practice address
6719 GALL BLVD, STE 107 TEW A SAK MD, ZEPHYRHILLS, FL 33542-2568
(813) 782-4113
(813) 788-2460
Mailing address
6719 GALL BLVD, STE 107 TEW A SAK MD, ZEPHYRHILLS, FL 33542-2568
(813) 782-4113
(813) 788-2460
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME43869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068995500
—
FL
Enumeration date
10/22/2008
Last updated
01/20/2009
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