Individual
DR. JAYSHREE ASHWIN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5310 TIMUQUANA RD, JACKSONVILLE, FL 32210-8049
(904) 771-0933
(904) 771-0907
Mailing address
5310 TIMUQUANA RD, JACKSONVILLE, FL 32210-8049
(904) 771-0933
(904) 771-0907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0009954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073053000
—
FL
01
—
1720030364
NPI TYPE 2
—
01
—
63060
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
—
786435
UCCI
FL
Enumeration date
07/28/2014
Last updated
07/28/2014
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