RAJESH M. PATEL, M.D., P.A.
Medical Practice at Riverside Ave, Jacksonville, FL

License number
Florida ME0042696
Category
Medical Practice
Type
Specialist
Owner
Name: DR. RAJESH M. PATEL M.D.
Title: PHYSICIAN
Phone: (904) 388-2540
Address
Address
2332 Riverside Ave, Jacksonville, FL 32204
National Provider ID: 1962707430
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAJESH M. PATEL, M.D., PA

2332 Riverside Ave, Jacksonville, FL 32204

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Oct 3, 1988
Inactive since:
Feb 3, 1998
State ID:
K38000
Business type:
Florida Profit Corporation
Director:
Rajesh Mmd Patel (Director), 2332 Riverside Ave, Jacksonville, FL 32204 (Physical)
Agent:
Edward Akel,2301 Independent Sq, Jacksonville, FL 32202 (Physical)
EIN:
593517259

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