Organization
JAY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITENDRA MEHTA MD (OWNER)
(863) 293-3909
Entity
Organization
Contact information
Practice address
571 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 293-3909
(863) 293-1909
Mailing address
571 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 293-3909
(863) 293-1909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME34128
FL
Other
Enumeration date
05/23/2007
Last updated
05/03/2012
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