|
| |
|
6817 Southpoint Pkwy Ste 304 Jacksonville FL 32216-6287 | |
| (904) 296-3113 | |
| (904) 372-6175 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 6817 Southpoint Pkwy Ste 304, Jacksonville, Florida |
| Authorized Official Name and Position | Saira Saqib (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 9042963113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2220 County Road 210 W # 108-177 Jacksonville FL 32259-4058 Ph: (904) 296-3113 | 6817 Southpoint Pkwy Ste 304 Jacksonville FL 32216-6287 Ph: (904) 296-3113 |
| NPI Number | 1871266213 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 03/07/2023 |
| Certification Date | 07/15/2022 |
| Medicare PECOS PAC ID | 2567858848 |
|---|---|
| Medicare Enrollment ID | O20220414000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871266213 | NPI | - | NPPES |
| ME108320 | Other | FL | FLORIDA BOARD OF MEDICINE |
| Provider Name | Saira Saqib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821757071 PECOS PAC ID: 5698969343 Enrollment ID: I20151121000265 |
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 | |