Individual
DR. RACHANA ASHOK PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13453 N MAIN ST STE 306, JACKSONVILLE, FL 32218-2774
(904) 564-2020
(904) 683-3934
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME109933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14EH1
BCBSFL
FL
01
—
FE075Y
MEDICARE
FL
01
—
P01389580
RAILROAD MEDICARE
FL
Enumeration date
10/20/2006
Last updated
05/27/2022
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