Individual
DR. JANESSA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256-5835
(904) 564-2020
Mailing address
11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256-5835
(904) 564-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5529
MA
152W00000X
Optometrist
Primary
6362
FL
Other
Enumeration date
01/29/2022
Last updated
02/26/2025
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