JOSEPH F. SACKETT, SR. M.D. – NPI #1720486111
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JOSEPH SACKETT, SR. is a physician located in PONTE VEDRA BEACH, FL. NPPES has assigned the NPI number 1720486111 to JOSEPH SACKETT, SR. on December 17, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOSEPH SACKETT, SR. below.

NPI Profile for
JOSEPH F. SACKETT, SR.

NPI Number
1720486111
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOSEPH F. SACKETT, SR.
Credentials
M.D.
Primary location
611 PONTE VEDRA BLVD
UNIT 122
PONTE VEDRA BEACH, FL 32082
Phone: (904) 280-4388 Fax: (904) 280-0807
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
WI 18916-20

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.