| Jaidev Pa | |
|
6513 S Kanner Hwy Stuart FL 34997-6330 | |
| (561) 703-0219 | |
| Not Available |
| Full Name | Jaidev Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6513 S Kanner Hwy, Stuart, Florida |
| Authorized Official Name and Position | Payal Chokshi (OWNER) |
| Authorized Official Contact | 5617030219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaidev Pa 6513 S Kanner Hwy Stuart FL 34997-6330 Ph: () - | Jaidev Pa 6513 S Kanner Hwy Stuart FL 34997-6330 Ph: (561) 703-0219 |
| NPI Number | 1245746395 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 12/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245746395 | NPI | - | NPPES |
| 004444800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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