Individual
DR. DANIEL KITTMAN SAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1651 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7564
(772) 398-1800
(772) 398-1815
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-2847
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME136562
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME136562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100621800
—
FL
01
—
Z04Y3
FLORIDA BLUE
FL
Enumeration date
08/13/2012
Last updated
02/09/2022
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