# JAYESH V. PATEL DO PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAYESH V. PATEL DO PA
- **Other names:** JAYESH V. PATEL DO. PA.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629347265
- **Legal business name:** JAYESH V. PATEL DO PA
- **Authorized official:** DR. JAYESH V. PATEL D. O. (PRESIDENT)
- **Authorized official phone:** (321) 269-0059

## Contact information

- **Practice address:** 2175 A CHENEY HWY, TITUSVILLE, FL 32780-6792
- **Practice address phone:** (321) 269-0059
- **Practice address fax:** (321) 269-9926
- **Mailing address:** 2175 A CHENEY HWY, TITUSVILLE, FL 32780-6792
- **Mailing address phone:** (321) 269-0059
- **Mailing address fax:** (321) 269-9926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OS7701 | FL | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 03/14/2012