Individual
SIVANTA J PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 703, JACKSONVILLE, FL 32216-6280
(904) 279-1666
(904) 279-1665
Mailing address
PO BOX 19949, JACKSONVILLE, FL 32245-0949
(904) 279-1666
(904) 279-1665
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME56495
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME56495
FL
Other
Enumeration date
06/08/2006
Last updated
03/09/2020
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