Sivanta J Paul MD PA
Psychiatry & Neurology, Psychiatry in Jacksonville, FL. Organization (NPI-2).
NPI number1083661383
StatusActive
Last updated in NPPESMar 9, 2020
Details
- NPI
- 1083661383
- Entity type
- Organization (NPI-2)
- Legal business name
- Sivanta J Paul MD PA
- Organization subpart
- No
- Enumeration date
- May 30, 2006
- Certification date
- Mar 9, 2020
- Last updated
- Mar 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME56495 | FL | Yes |
Practice location
4237 Salisbury RdSte 301
Jacksonville, FL 32216-8029
Phone 904-279-1666 · Fax 904-279-1665
Mailing address
Po Box 19949Jacksonville, FL 32245-0949
Phone 904-279-1666 · Fax 904-279-1665
Authorized official
Sivanta J Paul
President
9042791666
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