Acharya, Premal Shobhan

Acharya, Premal Shobhan is an sole proprietor health care provider with primary practice located at 4972 Town Center Pkwy Unit 301 , Jacksonville FL 32246-8596. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Acharya, Premal Shobhan can be contacted via phone (904) 642-6100.

Contact Information

Primary practice address
4972 Town Center Pkwy Unit 301 Jacksonville FL 32246-8596
Phone: (904) 642-6100
Fax: (904) 642-5154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS11026 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X UO1626 Florida

Profile Details

NPI number 1235330986
LBN Legal business name Acharya, Premal Shobhan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Feb 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235330986 NPPES
Florida MEDICAID 101883700

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