Individual
DHAVAL BHUPENDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
10901 BURNT MILL RD APT 1005, JACKSONVILLE, FL 32256-2856
(561) 308-6901
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME 108209
FL
Other
Enumeration date
08/14/2007
Last updated
11/07/2018
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