Individual
DR. BHARAT K MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3627 UNIVERSITY BLVD S, SUITE 705, JACKSONVILLE, FL 32216-4230
(904) 398-6718
(904) 396-0329
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3262
(904) 265-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME73310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257219200
—
FL
Enumeration date
08/16/2005
Last updated
05/24/2011
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