| Jaydeep Patel Md Pa | |
|
10311 Cross Creek Blvd Suite D Tampa FL 33647-2989 | |
| (813) 994-7670 | |
| Not Available |
| Full Name | Jaydeep Patel Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 10311 Cross Creek Blvd, Tampa, Florida |
| Authorized Official Name and Position | Jaydeep J Patel (PRESIDENT) |
| Authorized Official Contact | 8137318171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaydeep Patel Md Pa 17932 Timber View St Tampa FL 33647-2949 Ph: (813) 994-7670 | Jaydeep Patel Md Pa 10311 Cross Creek Blvd Suite D Tampa FL 33647-2989 Ph: (813) 994-7670 |
| NPI Number | 1982746962 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335109529 |
|---|---|
| Medicare Enrollment ID | O20041012001412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982746962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME72604 (Florida) | Primary |
| Provider Name | Jaydeep J Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750344610 PECOS PAC ID: 5496715682 Enrollment ID: I20041013000129 |
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