Individual
MIROSLAV UCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 SHIRCLIFF WAY, SUITE 500, JACKSONVILLE, FL 32204-4763
(904) 389-8861
(904) 389-5820
Mailing address
11945 SAN JOSE BLVD, BLDG. 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD432283
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020048520001
—
PA
01
—
14A28
BLUE CROSS BLUE SHIELD FL
FL
05
—
2776465
—
OH
05
—
3810009947
—
WV
01
—
8040398
CIGNA
FL
Enumeration date
07/23/2007
Last updated
07/22/2011
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