Provider Demographics
NPI:1598133993
Name:JS HEALTHCARE, INC
Entity Type:Organization
Organization Name:JS HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHWETANSHU
Authorized Official - Middle Name:MAHESHKUMAR
Authorized Official - Last Name:SHUKLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-415-9196
Mailing Address - Street 1:PO BOX 948237
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32794-8237
Mailing Address - Country:US
Mailing Address - Phone:321-444-6560
Mailing Address - Fax:407-960-1902
Practice Address - Street 1:201 N LAKEMONT AVE
Practice Address - Street 2:SUITE 2300
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792
Practice Address - Country:US
Practice Address - Phone:321-444-6560
Practice Address - Fax:407-960-1902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care