Individual
HARSHAL JANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9975 TAVISTOCK LAKES BLVD STE 220, ORLANDO, FL 32827-7665
(407) 930-7801
(407) 930-7806
Mailing address
9975 TAVISTOCK LAKES BLVD STE 220, ORLANDO, FL 32827-7665
(407) 930-7801
(407) 930-7806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10933
TX
363A00000X
Physician Assistant
Primary
PA9120626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4622394
BCBS
—
01
—
IL2613
MEDICARE GROUP PTAN
IL
01
—
IL2613048
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
06/07/2006
Last updated
12/10/2025
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