Individual provider · Type 1 NPI
Joseph Frederic Sackett Sr., MD
General Practice Physician · Ponte Vedra Beach, FL
NPI number
1720486111
Active
Practice location
611 Ponte Vedra Blvd, Unit 122
Ponte Vedra Beach, FL 32082
Fax (904) 280-0807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 18916-20 (WI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Ponte Vedra Beach
About NPI 1720486111
Joseph Frederic Sackett Sr., MD's National Provider Identifier is 1720486111, issued on Dec 17, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Oct 25, 2026.