Individual
JIGNESHKUMAR BABUBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8145 CEREBELLUM WAY STE 101, TRINITY, FL 34655-1788
(813) 425-5826
Mailing address
PO BOX 1149, ODESSA, FL 33556-1050
(727) 372-4500
(727) 372-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 110297
FL
207RG0100X
Gastroenterology Physician
Primary
ME 110297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004464300
—
FL
01
—
14H3K
BCBS
FL
01
—
FK191X
MEDICARE
FL
01
—
FK191Y
MEDICARE
—
01
—
FK191Z
MEDICARE
FL
Enumeration date
04/02/2007
Last updated
03/20/2026
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