Individual
ALAN I. SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 TRINITY DR, PENSACOLA, FL 32504-5708
(850) 416-1575
(850) 416-7435
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-1575
(850) 416-7435
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME79325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009928760
—
AL
05
—
257679100
—
FL
Enumeration date
07/31/2006
Last updated
01/14/2019
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