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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