Organization
PHYSICIANS FOR A COMMUNITY UNITED FOR RESEARCH AND EDUCATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM B PARYANI MD (PRESIDENT)
(904) 346-3338
Entity
Organization
Contact information
Practice address
7315 GREEN SLOPE DR, ZEPHYRHILLS, FL 33541-1314
(813) 783-8614
(813) 783-8538
Mailing address
PO BOX 19675, JACKSONVILLE, FL 32245-9675
(904) 346-3338
(904) 346-0815
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000419806
—
FL
01
—
33201
BCBS
FL
Enumeration date
01/27/2011
Last updated
03/04/2011
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