| Atlantic Visiting Practice Pa | |
|
6310 Beach Blvd Jacksonville FL 32216-2708 | |
| (904) 551-9757 | |
| (904) 551-9701 |
| Full Name | Atlantic Visiting Practice Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6310 Beach Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Babur H Bhatti (P, T) |
| Authorized Official Contact | 7036096430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Visiting Practice Pa 6310 Beach Blvd Jacksonville FL 32216-2708 Ph: (904) 551-9757 | Atlantic Visiting Practice Pa 6310 Beach Blvd Jacksonville FL 32216-2708 Ph: (904) 551-9757 |
| NPI Number | 1023601887 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Certification Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023601887 | NPI | - | NPPES |
| WBPPL | Other | FL | BCBS FL |
| 17113 | Other | FL | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
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