Individual
JOANNE LYNN SAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARPN
Contact information
Practice address
5401 ALHAMBRA AVENUE, SUITE D RICHARD M SAG MD PA, ORLANDO, FL 32808-7081
(407) 297-1497
(407) 297-8917
Mailing address
PO BOX 741240, ORANGE CITY, FL 32774-1240
(386) 774-5211
(386) 774-5251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ARNP1894492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303592100
—
FL
Enumeration date
10/23/2006
Last updated
05/16/2008
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