Patel, Jyoti

Patel, Jyoti is an individual health care provider with primary practice located at 105 Southpark Blvd Ste C-300, St Augustine FL 32086-4162. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Patel, Jyoti can be contacted via phone (904) 808-7246.

Contact Information

Primary practice address
105 Southpark Blvd Ste C-300 St Augustine FL 32086-4162
Phone: (904) 808-7246
Fax: (904) 808-7090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME61180 Florida

Profile Details

NPI number 1801828553
LBN Legal business name Patel, Jyoti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Nov 17th, 2011 - about 15 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 1801828553 NPPES
Florida Other 15162 BLUE CROSS PROVIDER NUMBE
Florida Other 34189 BLUE CROSS PROVIDER NUMBE
Florida Other 05336700 BLUE CROSS PROVIDER NUMBE
Florida MEDICAID 370492100 BLUE CROSS PROVIDER NUMBE

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