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
2003 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4893
(850) 878-2273
(850) 671-5900
Mailing address
PO BOX 19633, JACKSONVILLE, FL 32245-9633
(904) 346-3338
(904) 346-0815
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
FL
207U00000X
Nuclear Medicine Physician
Primary
—
FL
2085R0001X
Radiation Oncology Physician
—
FL
2085R0202X
Diagnostic Radiology Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33021
BCBSFL
FL
Enumeration date
02/03/2009
Last updated
08/06/2009
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