David Leonard Sall, M.D. P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0015444 Issued in FL

Legal business name

DAVID LEONARD SALL, M.D. P.A.

Practice address

1357 Palm Ave
Jacksonville, FL 32207-8432

Phone

(904) 396-2273

Fax

(904) 396-2507

NPI assigned

Apr 19, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Leonard Sall, M.D.

Title

Psychiatrist

Phone

(904) 396-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carl F Holmes, LCSW

  • Clinical Social Worker
  • Orange Park, FL
  • NPI 1104841311
  NPD (past)
• Patricia Ann Stacey-Sall, L.C.S.W.

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1841409695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1770840423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 PALM AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078432",
            "telephone_number": "904-396-2273",
            "fax_number": "904-396-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 PALM AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078432",
            "telephone_number": "904-396-2273",
            "fax_number": "904-396-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LEONARD SALL, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "SALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "904-396-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0015444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056606300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David a Baxendale DO PA
• David a Walker MD PA
• David and Associates Specialists, LLC
• David K. Rouse, D.C., P.a.
• David K. Sullivan, DMD, PA
• Justin Mackenzie David
• Michael David
• Shishir David
• Frances Nicole Davidson-Harshaw, LMHC
• Christina Davidson

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.