Individual
DR. AMIT K CHAKRAVARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8075 GATE PKWY W, SUITE 304, JACKSONVILLE, FL 32216-3684
(904) 739-6666
(904) 739-1009
Mailing address
PO BOX 56917, JACKSONVILLE, FL 32241-6917
(904) 739-6666
(904) 739-1009
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0053176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254907700
—
FL
01
—
290011203
RR MEDICARE
FL
01
—
44730
BCBSFL
FL
01
—
P00367696
RAIL ROAD MEDICARE
FL
Enumeration date
07/06/2006
Last updated
08/07/2008
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