| David Leonard Sall, M.d. P.a. | |
|
1357 Palm Ave Jacksonville FL 32207-8432 | |
| (904) 396-2273 | |
| (904) 396-2507 |
| Full Name | David Leonard Sall, M.d. P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1357 Palm Ave, Jacksonville, Florida |
| Authorized Official Name and Position | David Leonard Sall (PSYCHIATRIST) |
| Authorized Official Contact | 9043962273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Leonard Sall, M.d. P.a. 1357 Palm Ave Jacksonville FL 32207-8432 Ph: (904) 396-2273 | David Leonard Sall, M.d. P.a. 1357 Palm Ave Jacksonville FL 32207-8432 Ph: (904) 396-2273 |
| NPI Number | 1770840423 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 04/26/2012 |
| Medicare PECOS PAC ID | 8527218833 |
|---|---|
| Medicare Enrollment ID | O20121023000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770840423 | NPI | - | NPPES |
| 056606300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0015444 (Florida) | Primary |
| Provider Name | David L Sall |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1770795809 PECOS PAC ID: 4183789894 Enrollment ID: I20090212000485 |
Mark Dearing,lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 San Jose Blvd Ste 401, Jacksonville, FL 32223 Phone: 904-348-0343 | |
Reconnect Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 Riverside Ave, Jacksonville, FL 32205 Phone: 904-483-3843 | |
South Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254 Phone: 904-423-0017 Fax: 904-683-8169 | |
Mtb Therapist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6034 Chester Ave, Jacksonville, FL 32217 Phone: 904-323-2019 | |
Mc Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Lem Turner Rd Unit 100, Jacksonville, FL 32218 Phone: 904-764-2855 Fax: 904-764-2670 | |
Westland Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6196 Lake Gray Blvd, Jacksonville, FL 32244 Phone: 718-483-5093 | |