Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO 2226 | FL |
NPI | 1083623771 |
---|---|
Provider Name | Dr. Allen Scott Sater |
First Address | Jupiter, FL 33458-3991 |
Second Address | Jupiter, FL 33458-3991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 19/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U29824 | (02) | FL |