Individual
DR. JAIDEEP HOSKOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 CYPRESS EDGE DR STE 208, PALM COAST, FL 32164-8454
(386) 586-4460
(386) 586-4461
Mailing address
120 CYPRESS EDGE DR STE 208, PALM COAST, FL 32164-8454
(386) 586-4460
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME87751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-505-554-6
ECFMG
—
01
—
000000559883
ANTHEM/BCBS
KY
05
—
267203100
—
FL
01
—
33932
LICENSE
KY
05
—
6433932800
—
KY
01
—
G86486
UPIN
FL
01
—
ME87751
FL LICENSE
FL
Enumeration date
10/05/2005
Last updated
01/16/2020
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