Healthcare Provider Details

I. General information

NPI: 1225905730
Provider Name (Legal Business Name): MR. PAUL ANTHONY SYKES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4904 DALLEN LEA DR
JACKSONVILLE FL
32208-7612
US

IV. Provider business mailing address

4904 DALLEN LEA DR
JACKSONVILLE FL
32208-7612
US

V. Phone/Fax

Practice location:
  • Phone: 904-233-9494
  • Fax: 904-233-9494
Mailing address:
  • Phone: 904-233-9494
  • Fax: 904-233-9494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: