Provider Demographics
NPI:1598823171
Name:SAGER, FRED J (DC)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:J
Last Name:SAGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 NE 11TH AVE.
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305
Mailing Address - Country:US
Mailing Address - Phone:954-600-3489
Mailing Address - Fax:
Practice Address - Street 1:2208 NE 11TH AVE
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305
Practice Address - Country:US
Practice Address - Phone:954-600-3489
Practice Address - Fax:941-462-1792
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5844111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH5844OtherFL. CHIROPRACTIC LICENSE
FLCH5844OtherFL. CHIROPRACTIC LICENSE