DR. JOSEPH FREDERIC SACKETT SR. M.D.
NPI 1720486111
General Practice in Ponte Vedra Beach, FL

Q: What is Joseph Sackett's NPI number?

The NPI number for Joseph Sackett is 1720486111. It was assigned to this individual provider in the NPPES registry on December 17, 2014.

Q: What is Joseph Sackett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Sackett was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 17, 2014

611 PONTE VEDRA BLVD, UNIT 122, PONTE VEDRA BEACH, FL 32082(904) 280-4388(904) 280-0807 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Joseph Frederic Sackett Sr. M.d. NPPES

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

DR. JOSEPH FREDERIC SACKETT SR. M.D. (NPI 1720486111) is an individual general practice provider in Ponte Vedra Beach, Florida, licensed in Wisconsin (18916-20) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1720486111

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JOSEPH FREDERIC SACKETT SR.Credential: M.D.

Location Address611 PONTE VEDRA BLVD, UNIT 122Ponte Vedra Beach, FL 32082

Mailing Address611 Ponte Vedra Blvd, Unit 122Ponte Vedra Beach, FL 32082 · (904) 280-4388 · Fax (904) 280-0807

Phone(904) 280-4388

Fax(904) 280-0807

Sole ProprietorYes

Enumeration DateDecember 17, 2014

✔ NPI 1720486111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in WI · 18916-20

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

611 PONTE VEDRA BLVD, Ponte Vedra Beach, FL 32082

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Other Providers at the Same Location NPPES

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

JOSEPH SACKETT, M.D.

Clinic/Center (Radiology)

611 PONTE VEDRA BLVD, UNIT 122
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 280-4388

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 Joseph Sackett's NPI number?

The NPI number for Joseph Sackett is 1720486111. It was assigned to this individual provider in the NPPES registry on December 17, 2014.

Where is Joseph Sackett located?

Joseph Sackett practices at 611 Ponte Vedra Blvd Unit 122, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 280-4388.

What is Joseph Sackett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Joseph Sackett was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.