Individual
VASANT JAYASANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5147 N 9TH AVE STE 318, PENSACOLA, FL 32504-8710
(850) 462-2250
(850) 741-3053
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME107781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003003000
—
FL
Enumeration date
11/07/2006
Last updated
08/06/2021
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