Provider Demographics
NPI:1811004138
Name:SAGER, STEVEN BERRY (DO FACOG PA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:BERRY
Last Name:SAGER
Suffix:
Gender:M
Credentials:DO FACOG PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9671 GLADIOLUS DR
Mailing Address - Street 2:STE 111
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
Practice Address - Street 2:STE 111
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
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0006964207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL378281600Medicaid
G11457Medicare UPIN
FL57176Medicare ID - Type Unspecified