Healthcare Provider Details

I. General information

NPI: 1649107889
Provider Name (Legal Business Name): SEKHON SKIES MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 SAINT JOHNS BLUFF RD S STE 102
JACKSONVILLE FL
32246-2344
US

IV. Provider business mailing address

2511 SAINT JOHNS BLUFF RD S STE 102 STE 102
JACKSONVILLE FL
32246-2344
US

V. Phone/Fax

Practice location:
  • Phone: 904-483-1468
  • Fax:
Mailing address:
  • Phone: 904-483-1468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. PARDEEP SEKHON
Title or Position: MGR
Credential:
Phone: 904-483-1468