Organization
JSK JSN LLC
Active
Other names
Avalon Medical Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAUSHIKKUMAR K. PATEL MD (DOCTOR)
(321) 289-1951
Entity
Organization
Contact information
Practice address
14807 E COLONIAL DR, SUITE 112, ORLANDO, FL 32826-5122
(407) 250-6742
Mailing address
14807 E COLONIAL DR, SUITE 112, ORLANDO, FL 32826-5122
(321) 289-1951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17451100
—
FL
Enumeration date
06/26/2015
Last updated
06/22/2016
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