# JS HEALTHCARE, INC

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

## Provider details

- **NPI number:** 1598133993
- **Authorized official:** SHWETANSHU MAHESHKUMAR SHUKLA M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (407) 415-9196

## Contact information

- **Practice address:** 201 N LAKEMONT AVE, SUITE 2300, WINTER PARK, FL 32792
- **Practice address phone:** (321) 444-6560
- **Practice address fax:** (407) 960-1902
- **Mailing address:** PO BOX 948237, MAITLAND, FL 32794-8237
- **Mailing address phone:** (321) 444-6560
- **Mailing address fax:** (407) 960-1902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/02/2015
- **Last updated:** 06/06/2018