| Jsk Md Llc | |
|
419 Sw 15th St Ocala FL 34471-0609 | |
| (352) 732-6400 | |
| (352) 671-5283 |
| Full Name | Jsk Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 419 Sw 15th St, Ocala, Florida |
| Authorized Official Name and Position | Sanjay Ashwin Patel (OWNER) |
| Authorized Official Contact | 3527326400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsk Md Llc 419 Sw 15th St Ocala FL 34471-0609 Ph: (352) 732-6400 | Jsk Md Llc 419 Sw 15th St Ocala FL 34471-0609 Ph: (352) 732-6400 |
| NPI Number | 1538625520 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 01/17/2024 |
| Medicare PECOS PAC ID | 1557796034 |
|---|---|
| Medicare Enrollment ID | O20200109002137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538625520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sanjay A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003866823 PECOS PAC ID: 8123092004 Enrollment ID: I20040825001000 |
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