Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PO1202 | FL |
N | 213ES0131X | Foot Surgery | PO1202 | FL |
NPI | 1013947977 |
---|---|
Provider Name | Jeffrey G. Savran |
First Address | Boca Raton, FL 33434-3982 |
Second Address | Boca Raton, FL 33434-3983 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 07/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0296228-00 | (05) | FL |
406480526 | RAILROAD MEDICARE (01) | FL |
87633Y | INDIVIDUAL PIN (01) | FL |
T55481 | (02) | FL |