Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | OP60709060 | WA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | OP60709060 | WA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | OP60709060 | WA |
NPI | 1720309453 |
---|---|
Provider Name | Dr. Michael Garrett Saper |
First Address | Jacksonville, FL 32207-8426 |
Second Address | Jacksonville, FL 32207-8426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2010 |
Last Update Date | 19/12/2016 |