Individual
DEBABRATA SAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-6670
(904) 642-9100
(904) 642-9108
Mailing address
PO BOX 19249, JACKSONVILLE, FL 32245-9249
(904) 743-1883
(904) 743-5109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME62418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263659000
—
FL
Enumeration date
12/14/2006
Last updated
02/21/2014
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