Patel, Jignesh R

Patel, Jignesh R is an sole proprietor health care provider with primary practice located at 244 Southpark Cir E , St Augustine FL 32086-5137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Patel, Jignesh R can be contacted via phone (904) 824-7773.

Contact Information

Primary practice address
244 Southpark Cir E St Augustine FL 32086-5137
Phone: (904) 824-7773
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0071614 Florida

Profile Details

NPI number 1487693636
LBN Legal business name Patel, Jignesh R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Nov 9th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487693636 NPPES
Florida MEDICAID 251113400

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