Organization
JAYESH V. PATEL DO PA
Active
Parent organization
JAYESH V. PATEL DO PA
Other names
JAYESH V. PATEL DO. PA.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAYESH V. PATEL DO PA
Authorized official
DR. JAYESH V. PATEL D. O. (PRESIDENT)
(321) 269-0059
Entity
Organization
Contact information
Practice address
2175 A CHENEY HWY, TITUSVILLE, FL 32780-6792
(321) 269-0059
(321) 269-9926
Mailing address
2175 A CHENEY HWY, TITUSVILLE, FL 32780-6792
(321) 269-0059
(321) 269-9926
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OS7701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254600100
—
FL
Enumeration date
12/28/2011
Last updated
03/14/2012
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