Individual
DR. ANKIT R DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD, SUITE # 2391, JACKSONVILLE, FL 32258-7418
(904) 262-3372
(904) 262-3306
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME98940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001342200
—
FL
01
—
145QS
BCBS
FL
01
—
2457011
CIGNA
FL
01
—
329251
AVMED
FL
05
—
843808786A
—
GA
01
—
9088339
AETNA
FL
Enumeration date
06/05/2007
Last updated
06/22/2011
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