Individual
DISA G SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1282 US HIGHWAY 1, SUITE 4, ROCKLEDGE, FL 32955-2747
(321) 632-4800
(321) 632-6320
Mailing address
1282 US HIGHWAY 1, SUITE 4, ROCKLEDGE, FL 32955-2747
(321) 632-4800
(321) 632-6320
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME60948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370893400
—
FL
Enumeration date
08/31/2006
Last updated
03/16/2010
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