Individual
DR. NEIL JAYANT GAJERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 26TH AVE E, BRADENTON, FL 34208
(727) 341-4819
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1773
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS15782
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110324500
—
FL
01
—
NY259
MEDICARE
FL
Enumeration date
04/05/2017
Last updated
07/09/2021
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