Individual
PAUL BYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 BARRS ST, JACKSONVILLE, FL 32204-4704
(904) 308-7300
Mailing address
PO BOX 161180, ALTAMONTE SPRINGS, FL 32716-1180
(904) 388-6949
(904) 388-1841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME110594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132930B
—
GA
05
—
003155186A
—
GA
05
—
003155186B
—
GA
05
—
003155186C
—
GA
05
—
003155186D
—
GA
05
—
003155192A
—
GA
05
—
008658200
—
FL
01
—
14R0H
BC BS
FL
01
—
P01209056
RR MEDICARE
FL
Enumeration date
08/15/2007
Last updated
08/16/2023
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