Individual
DR. TODD L SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SHIRCLIFF WAY, SUITE 400, JACKSONVILLE, FL 32204-4757
(904) 381-9393
(904) 381-9314
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3262
(904) 265-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME53088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048601900
—
FL
Enumeration date
08/18/2005
Last updated
02/27/2013
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