Individual
DR. HITEN VITHAL KISNAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3840 BELFORT RD STE 306, JACKSONVILLE, FL 32216-8210
(904) 854-9177
(904) 854-6696
Mailing address
3840 BELFORT RD STE 306, JACKSONVILLE, FL 32216-8210
(904) 854-9177
(904) 854-6696
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0066482
FL
2084P0800X
Psychiatry Physician
ME66482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377054100
—
FL
Enumeration date
05/10/2006
Last updated
03/04/2019
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