Organization
DAVID LEONARD SALL, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEONARD SALL M.D. (PSYCHIATRIST)
(904) 396-2273
Entity
Organization
Contact information
Practice address
1357 PALM AVE, JACKSONVILLE, FL 32207-8432
(904) 396-2273
(904) 396-2507
Mailing address
1357 PALM AVE, JACKSONVILLE, FL 32207-8432
(904) 396-2273
(904) 396-2507
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0015444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056606300
—
FL
Enumeration date
04/19/2012
Last updated
04/26/2012
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