Individual
DR. NICHOLAS J SACKSTEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1747 BAPTIST CLAY DR STE 200, FLEMING ISLAND, FL 32003-8505
(904) 276-5776
(904) 276-5958
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27369
MS
207X00000X
Orthopaedic Surgery Physician
Primary
ME149600
FL
Other
Enumeration date
06/11/2014
Last updated
07/15/2021
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