Individual
ASOK KUMAR ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3720 BEACH BLVD, JACKSONVILLE, FL 32207-3814
(904) 399-1623
(904) 399-1624
Mailing address
PO BOX 17577, JACKSONVILLE, FL 32245-7577
(904) 399-1623
(904) 399-1624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31786
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
31786
MI
207RC0000X
Cardiovascular Disease Physician
31786
MI
207RG0100X
Gastroenterology Physician
31786
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
31786
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME99452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002831500
—
FL
Enumeration date
09/07/2006
Last updated
07/24/2014
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