Provider Demographics
NPI:1619098746
Name:PATEL, ASMITA RAMJI (MD)
Entity Type:Individual
Prefix:DR
First Name:ASMITA
Middle Name:RAMJI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4205 BELFORT ROAD
Mailing Address - Street 2:SUITE 2005
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-5876
Mailing Address - Country:US
Mailing Address - Phone:904-296-5870
Mailing Address - Fax:904-296-5871
Practice Address - Street 1:4205 BELFORT ROAD
Practice Address - Street 2:SUITE 2005
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-5876
Practice Address - Country:US
Practice Address - Phone:904-296-5870
Practice Address - Fax:904-296-5871
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2014-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME104762207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCP381ZMedicare PIN