| Jayaprakash Shetty Md Pa | |
|
1737a Se 28th Loop Ocala FL 34471-1079 | |
| (352) 622-7755 | |
| (352) 622-4021 |
| Full Name | Jayaprakash Shetty Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1737a Se 28th Loop, Ocala, Florida |
| Authorized Official Name and Position | Jayaprakash Shetty (PRESIDENT) |
| Authorized Official Contact | 3526227755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayaprakash Shetty Md Pa 1737a Se 28th Loop Ocala FL 34471-1079 Ph: (352) 622-7755 | Jayaprakash Shetty Md Pa 1737a Se 28th Loop Ocala FL 34471-1079 Ph: (352) 622-7755 |
| NPI Number | 1215040753 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/17/2013 |
| Medicare PECOS PAC ID | 4880756782 |
|---|---|
| Medicare Enrollment ID | O20081231000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215040753 | NPI | - | NPPES |
| 008123700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME75985 (Florida) | Primary |
| Provider Name | Jayaprakash N Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720081896 PECOS PAC ID: 1254493158 Enrollment ID: I20081231000495 |
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