Organization
JAISHIVA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAL P CHOKSHI DMD (DENTIST/OWNER)
(561) 703-0219
Entity
Organization
Contact information
Practice address
466 SW PORT ST LUCIE BLVD STE 117, PORT SAINT LUCIE, FL 34953-2091
(772) 918-9034
(772) 918-9022
Mailing address
466 SW PORT ST LUCIE BLVD STE 117, PORT SAINT LUCIE, FL 34953-2091
(772) 918-9034
(772) 918-9022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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