PRISAT PA NPI 1275678799

NPI Information

PRISAT PA is a mental health counselor in Jacksonville, FL. PRISAT PA NPI is 1275678799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3685 CROWN POINT COURT
SUITE 3
JACKSONVILLE, FL
ZIP 32257-967
Phone: (904) 880-8840
Fax: (904) 880-1994

The provider's authorized official is Satyen P. Madkaiker .
The authorized official title is Psychiatrist, President and has the following contact phone number (904) 880-8840.

The CLIA number assigned to this NPI record is 10D1096478 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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