MEDICARE: NORTH FLORIDA MEDICAL ASSOCIATES, INC.

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	207Q00000X	Family Medicine Physician	OS3216	FL
2	207R00000X	Internal Medicine Physician	ME0047248	FL
3	207R00000X	Internal Medicine Physician	ME51890	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1790770873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH FLORIDA MEDICAL ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 160817
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32716-0817
Country	:	US
Telephone Number	:	904-886-5385
Fax Number	:

Provider Business Practice Location Address
First Line	:	4131 UNIVERSITY BLVD S
Second Line	:	#8
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4326
Country	:	US
Telephone Number	:	904-733-3992
Fax Number	:	904-737-4344

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ELIAS NICHOLAS SAIKALI
Credential	:	MD
Telephone Number	:	904-733-3992

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	02/10/2016

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