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1720106750
JAYESHKUMAR PATEL
DAYTONA BEACH, FL
NPI
1720106750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC0003631)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. JAYESHKUMAR PATEL O.D.
2254 W. INTERNATIONAL SPEEDWAY BLVD.
DAYTONA BEACH, FL 32114
Phone number: 386-252-3639
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Mailing Address
Dr. JAYESHKUMAR PATEL O.D.
4180 MAYFAIR LN
PORT ORANGE, FL 32129-7506
Phone number:
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