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NPI Code Detail

MEDICARE: VIJAPURA BEHAVIORAL HEALTH PLLC

MEDICARE: VIJAPURA BEHAVIORAL HEALTH PLLC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1376904557
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIJAPURA BEHAVIORAL HEALTH PLLC
Provider Business Mailing Address
First Line : 9141 CYPRESS GREEN DR
Second Line : SUITE 1
City : JACKSONVILLE
State : FL
Zip : 32256-2013
Country : US
Telephone Number : 904-733-7333
Fax Number :
Provider Business Practice Location Address
First Line : 9141 CYPRESS GREEN DR
Second Line : SUITE 1
City : JACKSONVILLE
State : FL
Zip : 32256-2013
Country : US
Telephone Number : 904-733-7333
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SAGAR AMIT VIJAPURA
Credential : MD
Telephone Number : 904-733-7333
Provider Enumeration Date : 03/15/2016
Last Update Date : 02/14/2020

Similar Medicare Providers

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Practice Location Address:
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JACKSONVILLE, FL
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1891160859 — AMIT VIJAPURA MD PA
Practice Location Address:
9141 CYPRESS GREEN DR , SUITE 1
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32256-2013
Practice Phone: 904-733-7333
Practice Fax: 904-404-8342

Directions to “VIJAPURA BEHAVIORAL HEALTH PLLC ” Practice Location

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