Organization
RICHARD M SAG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT COOLIDGE (AGENT/REPRESENTATIVE)
(376) 774-5211
Entity
Organization
Contact information
Practice address
5401 ALHAMBRA DR, SUITE D, ORLANDO, FL 32808-7081
(407) 297-1497
(407) 297-8917
Mailing address
PO BOX 741240, ORANGE CITY, FL 32774-1240
(376) 774-5211
(386) 774-5251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME46257
FL
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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