Organization
KONIKA SCHALLEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONIKA PATEL SCHALLEN MD (PRESIDENT)
(904) 346-5462
Entity
Organization
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-0246
Mailing address
3432 SUNNYSIDE DR, JACKSONVILLE, FL 32207-5237
(904) 346-5462
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME 87598
FL
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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