ELLEN C. SACKETT

JACKSONVILLE, FL
NPI1710955067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME54002)
Enumeration Date2006-03-11
Last Update Date2015-02-02
Business Address
-- ELLEN C. SACKETT MD
6142 COLLINS RD CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32244-5806
Phone number: 904-778-3200
Mailing Address
-- ELLEN C. SACKETT MD
PO BOX 40767 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32203-0767
Phone number: 904-376-3707
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