Individual
JASHBHAI K. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 GATEWAY DR, SUITE 2B, MELBOURNE, FL 32901
(321) 728-6002
(321) 676-9731
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME42694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014492300
MEDICAID
FL
01
—
P00736798
RR MEDICARE NUMBER
—
Enumeration date
12/21/2005
Last updated
10/31/2018
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