1. Home
  2. Directory
  3. Florida
  4. Ponte Vedra Beach
  5. General Practice
  6. NPI Profile

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

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: July 19, 2026.

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
Open in Google Maps ↗

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

What is Joseph Sackett's NPI number?

The NPI number assigned to this healthcare provider is 1720486111, enumerated as an "individual" on December 17, 2014.

Where is the provider located?

The provider is located at 611 PONTE VEDRA BLVD UNIT 122 PONTE VEDRA BEACH, FL 32082 and the phone number is (904) 280-4388.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.