Organization
JOSEPH SACKETT, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FREDERIC SACKETT MD (PRESIDENT)
(904) 280-4388
Entity
Organization
Contact information
Practice address
611 PONTE VEDRA BLVD, UNIT 122, PONTE VEDRA BEACH, FL 32082-4730
(904) 280-4388
(904) 280-0807
Mailing address
611 PONTE VEDRA BLVD, UNIT 122, PONTE VEDRA BEACH, FL 32082-4730
(904) 280-4388
(904) 280-0807
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
18916-20
WI
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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