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Organization
PARABRAHMA PA
Active
Organization
PARABRAHMA PA
Active
Other names
Center of Excellence in Family and Geriatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
NETRALI PATEL MD (PRESIDENT)
(904) 337-9494
Entity
Organization
Contact information
Practice address
6100 GREENLAND RD STE 301, JACKSONVILLE, FL 32258-2626
(904) 337-9494
(904) 293-1328
Mailing address
6100 GREENLAND RD STE 301, JACKSONVILLE, FL 32258-2626
(904) 337-9494
(904) 293-1328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102224300
—
FL
05
—
102515400
—
FL
Enumeration date
02/06/2019
Last updated
04/16/2020
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