Individual
DR. SCOTT A SACHATELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 S 18TH ST, FERNANDINA BEACH, FL 32034-1902
(904) 396-5682
(904) 346-0864
Mailing address
820 PRUDENTIAL DR STE 713, JACKSONVILLE, FL 32207-8209
(904) 396-5682
(904) 346-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME84671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15768
BCBS
FL
05
—
263185688 I
—
GA
05
—
263986600
—
FL
Enumeration date
07/17/2006
Last updated
03/11/2008
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