Paul D Jayachandra M D P A

LBN: Paul D Jayachandra M D P A
Paul D Jayachandra M D P A is an health care organization with primary practice located at 1680 Osceola Elementary School Road Suite A, St Augustine FL 32084. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Paul D Jayachandra M D P A can be contacted via phone (904) 824-7476, or through Faircloth, Jennifer Rae via phone (904) 824-7476.

Contact Information

Primary practice address
1680 Osceola Elementary School Road Suite A St Augustine FL 32084
Phone: (904) 824-7476
Fax: (904) 824-7870
Website:
Map and Directions
Authorized official contact:
Name: Faircloth, Jennifer Rae Licensed Practical Nurse (LPN)
Phone: (904) 824-7476

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0066989 Florida

Profile Details

NPI number 1295870830
LBN Legal business name Paul D Jayachandra M D P A
DBA Doing business as
Authorized official Faircloth, Jennifer Rae Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Oct 22nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295870830 NPPES
Florida Other 26220 BCBS FLORIDA
Florida Other 26220Y BCBS FLORIDA
Florida Other 5777008 BCBS FLORIDA
Florida Other 94163841 BCBS FLORIDA
Florida Other AA919 BCBS FLORIDA
Florida Other 206068 BCBS FLORIDA
Florida MEDICAID 376531801 BCBS FLORIDA
Florida Other 390006717 BCBS FLORIDA
Florida Other 110132302 BCBS FLORIDA
Florida Other 26220Y BCBS FLORIDA
Florida Other 150095 BCBS FLORIDA
Florida Other 150095 BCBS FLORIDA
Florida MEDICAID 376531800 BCBS FLORIDA

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