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DISA GAGE SACKS MD PA
NPI 1649594847
Specialist in Rockledge, FL

Active since March 17, 2010
1282 S US HIGHWAY 1, SUITE 4, ROCKLEDGE, FL 32955(321) 632-4800(321) 632-6320 Get Directions Write a Review

NPPES record last updated: April 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Disa Gage Sacks Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DISA GAGE SACKS MD PA (NPI 1649594847) is a healthcare organization registered as a specialist in Rockledge, Florida and active in the NPI registry since March 2010. The organization lists Deborah L Nicoletti, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649594847
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDISA GAGE SACKS MD PA
Location Address1282 S US HIGHWAY 1, SUITE 4Rockledge, FL 32955-2747
Mailing Address1282 S Us Highway 1, Suite 4Rockledge, FL 32955-2747 · (321) 632-4800 · Fax (321) 632-6320
Phone(321) 632-4800
Fax(321) 632-6320
Organization SubpartNo
Authorized OfficialDeborah L NicolettiOffice Manager · (321) 632-4800
Enumeration DateMarch 17, 2010
Last NPPES UpdateApril 6, 2010
✔ NPI 1649594847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0060948
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1282 S US HIGHWAY 1, Rockledge, FL 32955
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Other Identifiers 2

Medicare UPIN17805FL
Medicaid370893400FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT E. BARDEN MD PA
Internal Medicine (Cardiovascular Disease)
1282 S US HIGHWAY 1, SUITE 4
ROCKLEDGE, FL 32955
Brevard County (321) 632-4800
DE ZAYAS EYE ASSOCIATES, PA
Ophthalmology
1282 S US HIGHWAY 1, SUITE 2
ROCKLEDGE, FL 32955
Brevard County (321) 632-0012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Disa Gage Sacks MD PA's NPI number?

The NPI number for Disa Gage Sacks MD PA is 1649594847. It was assigned to this organization in the NPPES registry on March 17, 2010.

Where is Disa Gage Sacks MD PA located?

Disa Gage Sacks MD PA is located at 1282 S Us Highway 1 Suite 4, Rockledge, FL 32955. The listed phone number is (321) 632-4800.

What is Disa Gage Sacks MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Disa Gage Sacks MD PA was last updated on April 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.