DR. VICTOR BRYANT ADRIANO SANTOS (NPI# 1033503503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033503503 |
Entity Type | Individual |
Full Name | DR. VICTOR BRYANT ADRIANO SANTOS |
Credential | M.D. |
Practice Address |
8823 San Jose Blvd Ste 301 Jacksonville FL 32217-4290 |
Mailing Address |
3283 Warnell Dr Jacksonville FL 32216-1161 |
Practice Telephone | 9046388164 |
Mailing Telephone | 4077601981 |
Enumeration Date | 2015-03-23 |
Last Update Date | 2020-06-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME142571 | FL | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME142571 | FL | Allopathic & Osteopathic Physicians |
Street Address |
8823 SAN JOSE BLVD STE 301 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32217-4290 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255992327 | Allison Dyal | Counselor | 8823 San Jose Blvd Ste 301, Jacksonville, FL 32217-4290 | 2019-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
Find all providers in zip 32217 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548490527 | Jusleen C Kendhari | Psychiatry & Neurology | 1650 Prudential Dr Ste 201, Jacksonville, FL 32207-8149 | 2009-07-23 |
1053807750 | Christine Nichole Crews | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-05 |
1033567797 | Shirley Diana Angela Alleyne | Psychiatry & Neurology | 580 W 8th St, 580 West 8th Street, Jacksonville, FL 32209-6533 | 2016-06-02 |
1083073092 | Chirag V Desai Md LLC | Psychiatry & Neurology | 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655 | 2016-02-18 |
1003200247 | Aylin Saner Emmert | Psychiatry & Neurology | 1650 Prudential Dr Ste 210, Jacksonville, FL 32207-8149 | 2015-03-25 |
1669881470 | Miriam Altagracia Dickson | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207 | 2014-08-05 |
1871801787 | Fact Specialized Services, Inc. | Psychiatry & Neurology | 127 Center St, Jacksonville, NC 28546-5708 | 2010-09-14 |
1528249125 | Blazen Draguljic | Psychiatry & Neurology | 820 Prudential Dr Ste 510, Jacksonville, FL 32207-8207 | 2007-11-25 |
1871793869 | Anoosh Salman | Psychiatry & Neurology | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2007-07-19 |
1992914659 | Laurie Ann Truog | Psychiatry & Neurology | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2007-05-21 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32217 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.