Individual
DR. JAIMIN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME104797
FL
207Q00000X
Family Medicine Physician
001308
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001320000
—
FL
Enumeration date
12/20/2007
Last updated
02/12/2013
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