1649216730 NPI number — RICHARD M SAG MD

Table of content: RICHARD M SAG MD (NPI 1649216730)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649216730 NPI number — RICHARD M SAG MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAG
Provider First Name:
RICHARD
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649216730
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 741240
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORANGE CITY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32774-1240
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
386-774-5211
Provider Business Mailing Address Fax Number:
386-774-5251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5401 ALHAMBRA DR
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32808-7081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-297-1497
Provider Business Practice Location Address Fax Number:
407-297-8917
Provider Enumeration Date:
06/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  ME46257 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 046850900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02435 . This is a "BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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