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Organization
JAYAPRAKASH SHETTY MD PA
Active
Organization
JAYAPRAKASH SHETTY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYAPRAKASH SHETTY MD (PRESIDENT)
(352) 622-7755
Entity
Organization
Contact information
Practice address
1737A SE 28TH LOOP, OCALA, FL 34471-1079
(352) 622-7755
(352) 622-4021
Mailing address
1737A SE 28TH LOOP, OCALA, FL 34471-1079
(352) 622-7755
(352) 622-4021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME75985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008123700
—
FL
Enumeration date
08/17/2006
Last updated
12/17/2013
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