Provider Demographics
NPI:1053362095
Name:SAINT-PRE, MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:SAINT-PRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:SHERLEY
Other - Last Name:BOURSIQUOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:921 NORTH DAVIS STREET
Mailing Address - Street 2:BUILDING B, SUITE 315
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209
Mailing Address - Country:US
Mailing Address - Phone:904-353-2100
Mailing Address - Fax:904-253-1942
Practice Address - Street 1:515 W 6TH ST # MC-51
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-4324
Practice Address - Country:US
Practice Address - Phone:904-253-1080
Practice Address - Fax:904-253-2514
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93108208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA272216181AMedicaid
FL273725600Medicaid
GA272216181AMedicaid
FL273725600Medicaid