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Organization
JAI HO
Active
Organization
JAI HO
Active
Parent organization
JAI HO MALABAR MEDICAL WALK IN CLINIC
Other names
Sand Lake Medical Walk In Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAI HO MALABAR MEDICAL WALK IN CLINIC
Authorized official
KANTILAL BHALANI MD (PHYSICIA)
(407) 286-1829
Entity
Organization
Contact information
Practice address
1650 SAND LAKE RD STE 112A, ORLANDO, FL 32809-7671
(407) 286-1829
(407) 286-3291
Mailing address
1650 SAND LAKE RD, SUITE 112A, ORLANDO, FL 32809-7681
(407) 286-1829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME39710
FL
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016834700
—
FL
01
—
1609321454
NPI NUMBER
FL
Enumeration date
08/22/2016
Last updated
11/02/2022
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