Individual
RICHARD M SAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
(386) 774-5211
(386) 774-5251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME46257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02435
BLUE SHIELD
FL
05
—
046850900
—
FL
Enumeration date
06/20/2006
Last updated
06/02/2008
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