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NPI Code Detail

MEDICARE: SHARMILLA ANAND D.M.D P.A.

MEDICARE: SHARMILLA ANAND D.M.D P.A.
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
11223G0001XGeneral Practice DentistryDN0013665FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306914759
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHARMILLA ANAND D.M.D P.A.
Provider Business Mailing Address
First Line : 1420 SAN MARCO BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207
Country : US
Telephone Number : 904-399-3632
Fax Number : 904-399-1674
Provider Business Practice Location Address
First Line : 1420 SAN MARCO BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8536
Country : US
Telephone Number : 904-399-3632
Fax Number : 904-399-1674
Authorized Official
Title or Position : DENTIST
Name : DR. SHARMILLA ANAND
Credential : D.M.D.
Telephone Number : 904-399-3632
Provider Enumeration Date : 12/02/2006
Last Update Date : 06/24/2008

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Directions to “SHARMILLA ANAND D.M.D P.A. ” Practice Location

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