Provider Demographics
NPI:1003343633
Name:SHOOLIZ, PAYAL PARESH PATEL (MD)
Entity Type:Individual
Prefix:
First Name:PAYAL
Middle Name:PARESH PATEL
Last Name:SHOOLIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 PARK AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-5572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2300 PARK AVE STE 102
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5572
Practice Address - Country:US
Practice Address - Phone:904-215-2510
Practice Address - Fax:904-215-1515
Is Sole Proprietor?:No
Enumeration Date:2017-05-14
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME139520207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism