Individual
SAMIR KASHYAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
OS18866
FL
390200000X
Student in an Organized Health Care Education/Training Program
RS2014-0559
NM
Other
Enumeration date
06/03/2014
Last updated
06/27/2022
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