Organization
BAY AREA GASTROENTEROLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESHKUMAR B PATEL M.D. (MANAGING MEMBER)
(813) 230-2884
Entity
Organization
Contact information
Practice address
1818 SHORT BRANCH DR, SUITE 102, TRINITY, FL 34655-4425
(813) 230-2884
Mailing address
PO BOX 1149, ODESSA, FL 33556-1050
(813) 230-2884
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME110297
FL
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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