Provider Demographics
NPI:1194032250
Name:SAGITA, PLLC
Entity Type:Organization
Organization Name:SAGITA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER-MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SAVOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-430-0845
Mailing Address - Street 1:1629 NORTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-2183
Mailing Address - Country:US
Mailing Address - Phone:239-430-0845
Mailing Address - Fax:239-430-0845
Practice Address - Street 1:1629 NORTHGATE DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-2183
Practice Address - Country:US
Practice Address - Phone:239-430-0845
Practice Address - Fax:239-430-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99799261Q00000X, 282N00000X, 314000000X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient