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Organization
GOLD STAR PEDIATRICS PA
Active
Organization
GOLD STAR PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIGNESH BHOGILAL PATEL MD (PRESIDENT)
(941) 266-5629
Entity
Organization
Contact information
Practice address
3149 BOBCAT VILLAGE CENTER RD # 14, NORTH PORT, FL 34288-8974
(732) 309-1292
Mailing address
1400 LAKE BREEZE CT, NORTH PORT, FL 34291-8023
(732) 309-1292
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
01/14/2023
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