# GOLD STAR NEONATOLOGY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295626216
- **Authorized official:** DR. JIGNESH PATEL MD (OWNER PRESIDENT)
- **Authorized official phone:** (732) 309-1292

## Contact information

- **Practice address:** 2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
- **Practice address phone:** (941) 766-4400
- **Practice address fax:** (888) 498-4926
- **Mailing address:** 1400 LAKE BREEZE CT, NORTH PORT, FL 34291-8023
- **Mailing address phone:** (732) 309-1292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2025
- **Last updated:** 07/09/2025