Individual
JANAK HIRABHAI BHAVSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
938 SAXON BLVD STE 101-C, ORANGE CITY, FL 32763-8305
(386) 774-5485
(386) 775-0761
Mailing address
695 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2321
(386) 258-8722
(386) 258-8659
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME110155
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME110155
FL
207UN0901X
Nuclear Cardiology Physician
ME110155
FL
2086S0129X
Vascular Surgery Physician
ME110155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005954200
—
FL
01
—
14L3S
BC/BS
FL
Enumeration date
01/05/2006
Last updated
03/17/2018
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