Atul M Shah (NPI# 1962471169, PAC ID# 6507850617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1962471169 |
| PAC ID by PECOS | 6507850617 |
| Professional Enrollment ID | I20040412001546 |
| Full Name | Atul M Shah |
| Organization Legal Name | PACIFICA CARE PLLC |
| Address |
13121 Atlantic Blvd Suite 100 Jacksonville FL 32225-0102 |
| Phone Number | 9042212232 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7911184692 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 | 9042212232 | PACIFICA CARE PLLC |
| Organization Legal Name | PACIFICA CARE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Tait | Psychiatry | Pacifica Care Pllc | 25097 E Olympia Ave, Suite 200, Punta Gorda, FL 33950-3914 |
| Delia Glisette Toledo | Psychiatry | Pacifica Care Pllc | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 |
| Street Address |
13121 ATLANTIC BLVD SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32225-0102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delia Glisette Toledo | Psychiatry | Pacifica Care Pllc | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 |
| James L Lounsbury | Clinical Social Worker | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 | |
| Theodore C Kuchler Iii | Chiropractic | Back Into Health Chiropractic Inc. | 13121 Atlantic Blvd, Suite 4, Jacksonvillef, FL 32225-3125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghassan Ju Ghata | General Practice | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Girija Chandran | Family Medicine | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Erica C Bilalovic | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Morgan Sanders | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Peter Kimball | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Keisha D Pugh | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Stephanie Kinsey | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| John E Haas | Family Medicine | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Paul S Schklar | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Kelly M Trumble | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Find all physicians in zip 32225 | |||
| City | JACKSONVILLE |
| Zip Code | 32225 |
| Specialty | PSYCHIATRY |
| City + Specialty | JACKSONVILLE + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.