Disa Gage Sacks MD PA

NPI #1649594847 in Rockledge, Florida

Provider Information

NPI Number: 1649594847
Entity Type: Organization
Organization Name: Disa Gage Sacks MD PA
Primary Specialty: Specialist
Enumeration Date: Mar 17, 2010
Last Updated: Apr 6, 2010

Practice Location

Address: 1282 S US HIGHWAY 1
Address 2: SUITE 4
City: Rockledge
State: Florida
ZIP Code: 32955-2747
Phone: (321) 632-4800

Authorized Official

Name: DEBORAH L NICOLETTI, RN
Title: OFFICE MANAGER
Phone: (321) 632-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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