Individual
BRIJMOHAN SARABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2201, JACKSONVILLE, FL 32258-7418
(904) 880-9696
(904) 390-7452
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME101422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004807-00
—
FL
01
—
P00731365
RAILROAD MEDICARE
FL
Enumeration date
09/11/2008
Last updated
09/04/2024
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