Individual
DR. JAYESHKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2254 W. INTERNATIONAL SPEEDWAY BLVD., DAYTONA BEACH, FL 32114
(386) 252-3639
(386) 252-0923
Mailing address
4180 MAYFAIR LN, PORT ORANGE, FL 32129-7506
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC0003631
FL
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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