Organization
JS HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHWETANSHU MAHESHKUMAR SHUKLA M.D. (PRESIDENT/CEO)
(407) 415-9196
Entity
Organization
Contact information
Practice address
201 N LAKEMONT AVE, SUITE 2300, WINTER PARK, FL 32792
(321) 444-6560
(407) 960-1902
Mailing address
PO BOX 948237, MAITLAND, FL 32794-8237
(321) 444-6560
(407) 960-1902
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/02/2015
Last updated
06/06/2018
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