Organization
HEART CENTER OF SAINT AUGUSTINE, PA
Active
Organization
HEART CENTER OF SAINT AUGUSTINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA SIKARIA M.D. (PHYSCIAN)
(904) 825-4333
Entity
Organization
Contact information
Practice address
301 HEALTH PARK BLVD STE 329, SAINT AUGUSTINE, FL 32086-5771
(904) 825-4333
(904) 825-4248
Mailing address
238 FIDDLERS POINT DR, SAINT AUGUSTINE, FL 32080-6133
(904) 825-4333
(904) 825-4248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0064435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060052505
RAILROAD MEDICARE
FL
01
—
25436
FL BLUE CROSS BLUE SHIELD
FL
01
—
25436A
MEDICARE PARTICIPATION ID
—
05
—
375418900
—
FL
Enumeration date
11/03/2010
Last updated
11/03/2010
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