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Individual

DR. BASHAR S SAIKALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 HEALTH PARK BLVD, SUITE 1006, ST AUGUSTINE, FL 32086-3707
(904) 794-7050
(904) 794-7135
Mailing address
3550 UNIVERSITY BLVD S, STE 302, JACKSONVILLE, FL 32216-4225
(904) 733-4444
(904) 733-5377

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 78252
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060055960
RAILROAD MEDICARE
FL
05
258342900
FL
01
46619
BCBS
FL
Enumeration date
06/10/2005
Last updated
08/09/2012
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