Individual
DR. SAMUEL H SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 N 51ST AVE, HOLLYWOOD, FL 33021-4026
(732) 735-3848
Mailing address
2030 N 51ST AVE, HOLLYWOOD, FL 33021-4026
(732) 735-3848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME145706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110905400
—
FL
Enumeration date
08/22/2018
Last updated
09/11/2024
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