Individual
ANJALI SHAH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13760 OLD SAINT AUGUSTINE RD STE 102, JACKSONVILLE, FL 32258-5492
(904) 379-9068
(904) 503-0683
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5637
FL
Other
Enumeration date
05/13/2019
Last updated
10/26/2023
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