Basic Information
| Provider Information | |||||||||
| NPI: | 1811000391 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAVIN | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8200 S JOG RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | BOYNTON BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334722981 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617934489 | ||||||||
| FaxNumber: | 8478163166 | ||||||||
| Practice Location | |||||||||
| Address1: | 2465 SR 7 | ||||||||
| Address2: | SUITE 800 | ||||||||
| City: | BOYNTON BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334722981 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617934489 | ||||||||
| FaxNumber: | 8478163166 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2006 | ||||||||
| LastUpdateDate: | 04/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME120120 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 04930281 | 01 | BLUE CROSS BLUE SHIELD | OTHER |