Healthcare Provider Details

I. General information

NPI: 1326245960
Provider Name (Legal Business Name): DENNIS O SAGINI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13691 METRO PKWY STE 400
FORT MYERS FL
33912-4349
US

IV. Provider business mailing address

6321 DANIELS PKWY STE 200
FORT MYERS FL
33912-4773
US

V. Phone/Fax

Practice location:
  • Phone: 239-302-3216
  • Fax: 239-567-3635
Mailing address:
  • Phone: 239-416-8101
  • Fax: 239-402-8601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME102010
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberME102010
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: