Provider Demographics
NPI:1831517598
Name:PATEL, JAYMIN ASHOK (MD)
Entity type:Individual
Prefix:
First Name:JAYMIN
Middle Name:ASHOK
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14100 FIVAY RD STE 160
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-7194
Mailing Address - Country:US
Mailing Address - Phone:727-862-1080
Mailing Address - Fax:727-863-3093
Practice Address - Street 1:14100 FIVAY RD STE 160
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7194
Practice Address - Country:US
Practice Address - Phone:727-862-1080
Practice Address - Fax:727-863-3093
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME136256207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease