DR. SRIDHAR SRINIVASAN


Address: 14546 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258-5468
Phone: 9042027300

DR. SRIDHAR SRINIVASAN (NPI# 1750598363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750598363
Entity Type Individual
Full Name DR. SRIDHAR SRINIVASAN
Credential MD
Practice Address 14546 Old Saint Augustine Rd Ste 100
Jacksonville
FL 32258-5468
Mailing Address Po Box 45278
Jacksonville
FL 32232-5278
Practice Telephone 9042027300
Practice Fax Number 9042027377
Mailing Telephone 9042022092
Mailing Fax Number 9043937603
Enumeration Date 2007-05-16
Last Update Date 2018-10-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
ME99519 FL Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
062292 GA Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
4301085324 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 14546 OLD SAINT AUGUSTINE RD STE 100
City JACKSONVILLE
State FL
Zip Code 32258-5468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558840264 Baptist-southeast Gynecologic Oncology Associates Inc Internal Medicine 14546 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258-5468 2018-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
Find all providers in zip 32258

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760818959 Talha Badar Internal Medicine 4500 San Pablo Rd S # X, Jacksonville, FL 32224-1865 2013-09-19
1952621237 Harvey B Sher Internal Medicine 2742 Beauclerc Rd, Jacksonville, FL 32257-5602 2010-06-09
1548426703 Ewa M Wysokinska Internal Medicine 4500 San Pablo Rd S Fl 3222, Jacksonville, FL 32224-1865 2008-08-06
1891878146 Miten R Patel Internal Medicine 7015 Ac Skinner Parkway, Building 100, Jacksonville, FLORIDA 32256-6932 2006-10-23
1831122035 Shonda Michelle Asaad Internal Medicine 239 Station St, Jacksonville, NC 28546-6304 2006-07-09
1770535700 Sahana R Kalmadi Internal Medicine 14546 Old Saint Augustine Rd Ste 317, Jacksonville, FL 32258-5472 2006-05-17
1902889959 Maria J Valente Internal Medicine 7015 A C Skinner Pkwy, Bldg 100, Jacksonville, FL 32256-6932 2005-11-23
1124017850 Lawrence Arthur Solberg Jr. Internal Medicine 3827 Coopers Lake Rd, Jacksonville, FL 32224-8436 2005-10-15
1922095884 Carlos M Castillo Internal Medicine 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256 2005-10-05
1932196243 Integrated Community Oncology Network LLC Internal Medicine 9143 Philips Hwy, Ste 560, Jacksonville, FL 32256-1348 2005-10-03
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32258

Improve Information

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Dataset Information

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.

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