Provider Demographics
NPI:1134491533
Name:STEVEN B SAGER DO FACOG PA
Entity Type:Organization
Organization Name:STEVEN B SAGER DO FACOG PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-768-7071
Mailing Address - Street 1:9671 GLADIOLUS DR STE 111
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-7684
Mailing Address - Country:US
Mailing Address - Phone:239-768-7071
Mailing Address - Fax:239-768-7077
Practice Address - Street 1:9671 GLADIOLUS DR STE 111
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-7684
Practice Address - Country:US
Practice Address - Phone:239-768-7071
Practice Address - Fax:239-768-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6964207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006471900Medicaid
FL378281600Medicaid
FL378281600Medicaid