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Organization
JAI HO LLC
Active
Organization
JAI HO LLC
Active
Other names
Malabar Medical Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANTILAL H BHALANI MD (MD)
(321) 802-9080
Entity
Organization
Contact information
Practice address
1663 GEORGIA ST NE STE 400, PALM BAY, FL 32907-2537
(321) 802-9080
(321) 802-5211
Mailing address
1663 GEORGIA STREET, SUITE 400, PALM BAY, FL 32907
(321) 802-9080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235507781
NPI NUMBER
FL
Enumeration date
09/14/2015
Last updated
11/02/2022
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