Amit Vijapura MD PA

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

ME59803 Issued in FL

Legal business name

AMIT VIJAPURA MD PA

Practice address

9141 Cypress Green Dr
Suite 1
Jacksonville, FL 32256-2013

Phone

(904) 733-7333

Fax

(904) 404-8342

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Amit K Vijapura, MD

Title

Shareholder

Phone

(904) 733-7333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1891160859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9141 CYPRESS GREEN DR",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562013",
            "telephone_number": "904-733-7333",
            "fax_number": "904-404-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 CYPRESS GREEN DR",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562013",
            "telephone_number": "904-733-7333",
            "fax_number": "904-404-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT VIJAPURA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "VIJAPURA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "904-733-7333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "FL",
            "license": "ME59803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prescribing (Medical) Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prescribing (Medical) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.