Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME102010 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | MT191455 | PA |
NPI | 1326245960 |
---|---|
Provider Name | Dennis O Sagini |
First Address | Fort Myers, FL 33907-5524 |
Second Address | Fort Myers, FL 33907-5524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 19/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ME102010 | MEDICAL LICENSE (01) | FL |