MEDICARE: KUNAL THAKKAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	ME104096	FL

General Provider Information

NPI Number	:	1306009139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KUNAL THAKKAR M.D.

Provider Business Mailing Address
First Line	:	1560 ROBERTS DR
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3222
Country	:	US
Telephone Number	:	904-339-0350
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 ROBERTS DR
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3222
Country	:	US
Telephone Number	:	904-339-0350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	12/06/2018

Similar Medicare Providers

1740583020 — HOPE ADULT DAYCARE
Practice Location Address:

1560 ROBERTS DR
JACKSONVILLE BEACH, FL
32250-3222

Practice Phone: 904-249-4673
Practice Fax: 904-249-4617

1861791402 — ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC
Practice Location Address:

1560 ROBERTS DR
JACKSONVILLE BEACH, FL
32250-3222

Practice Phone: 904-339-0350
Practice Fax: 904-339-0351

1972861185 — HOPE ADULT DAYCARE
Practice Location Address:

1560 ROBERTS DRIVE
JACKSONVILLE, FL
32250-3222

Practice Phone: 904-249-4673
Practice Fax: 904-249-4619

1245599497 — STEPHEN E. GRABLE, M.D., P.A.
Practice Location Address:

1504 ROBERTS DR
JACKSONVILLE BEACH, FL
32250-3222

Practice Phone: 904-247-7455
Practice Fax: 904-247-8550

1922471721 — BEACHES THERAPY LLC
Practice Location Address:

1552 ROBERTS DR
JACKSONVILLE BEACH, FL
32250-3222

Practice Phone: 904-729-2947
Practice Fax:

1396209003 — MS. PAULA SMITH BAUER MSW
Practice Location Address:

1552 ROBERTS DR
JACKSONVILLE BEACH, FL
32250-3222

Practice Phone: 904-299-3420
Practice Fax:

Directions to “ KUNAL THAKKAR M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.