MEDICARE: DR. VIJAPURA AND ASSOCIATES

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	2084P0800X	Psychiatry Physician	ME59803	FL

General Provider Information

NPI Number	:	1508066465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. VIJAPURA AND ASSOCIATES

Provider Business Mailing Address
First Line	:	9141 CYPRESS GREEN DRIVE
Second Line	:	SUITE 1
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256
Country	:	US
Telephone Number	:	904-733-7333
Fax Number	:	904-733-5647

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	:	904-733-5647

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMIT K VIJAPURA
Credential	:	MD
Telephone Number	:	904-733-7333

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	07/19/2007

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