| 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 |
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