Sivanta J Paul Md Pa | |
4237 Salisbury Rd Ste 301 Jacksonville FL 32216-8029 | |
(904) 279-1666 | |
(904) 279-1665 |
Full Name | Sivanta J Paul Md Pa |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4237 Salisbury Rd, Jacksonville, Florida |
Authorized Official Name and Position | Sivanta J Paul (PRESIDENT) |
Authorized Official Contact | 9042791666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sivanta J Paul Md Pa Po Box 19949 Jacksonville FL 32245-0949 Ph: (904) 279-1666 | Sivanta J Paul Md Pa 4237 Salisbury Rd Ste 301 Jacksonville FL 32216-8029 Ph: (904) 279-1666 |
NPI Number | 1083661383 |
---|---|
Provider Enumeration Date | 05/30/2006 |
Last Update Date | 03/09/2020 |
Certification Date | 03/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083661383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME56495 (Florida) | Primary |
News Archive
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