Provider Demographics
NPI:1518931278
Name:SARACHENE, JOSEPH EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EUGENE
Last Name:SARACHENE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 CHILD ST DEPT 5000
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32214-5000
Mailing Address - Country:US
Mailing Address - Phone:904-546-6351
Mailing Address - Fax:904-542-7662
Practice Address - Street 1:2080 CHILD ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32214-1114
Practice Address - Country:US
Practice Address - Phone:904-546-6351
Practice Address - Fax:904-542-7662
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG737612084P0800X
OH35.0565532084P0800X
FLME1191952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12688900Medicaid