JOSEPH SACKETT M.D. NPI 1326479056

NPI Information

  • NPI: 1326479056
  • Provider Name: JOSEPH SACKETT, M.D.
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 611 PONTE VEDRA BLVD
    UNIT 122
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Phone: (904) 280-4388

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NPI Details

JOSEPH SACKETT, M.D. is a radiology clinic center in Ponte Vedra Beach, FL. JOSEPH SACKETT, M.D. NPI is 1326479056. The provider is registered as an organization entity type.

The provider's business location address is:

611 PONTE VEDRA BLVD
UNIT 122
PONTE VEDRA BEACH, FL
ZIP 32082-730
Phone: (904) 280-4388
Fax: (904) 280-0807

The provider's authorized official is Joseph Frederic Sackett .
The authorized official title is President and has the following contact phone number (904) 280-4388.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiology18916-20WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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