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Contact Information

ATLANTIC VISITING PRACTICE PA
6310 BEACH BLVD
JACKSONVILLE, FL32216-2708
 Phone: 904-551-9757
 Fax: 904-551-9701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ATLANTIC VISITING PRACTICE PA · (Female)

NPI Number 1023601887
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2021
Last updated 02/12/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other 17113 BCBS FL
  • FL Other WBPPL BCBS FL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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