Individual
KRUPESH DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8396 COMPASS ROSE DR S, JACKSONVILLE, FL 32216-6314
(856) 381-6585
Mailing address
20 BROOKVIEW CIR, GREENVILLE, SC 29605-3042
(856) 381-6585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME153624
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
07/03/2023
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