Provider Demographics
NPI:1790117554
Name:PATEL, JINAL JANAK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JINAL
Middle Name:JANAK
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CELEBRATION BLVD
Mailing Address - Street 2:SUITE A150
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5066
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 CELEBRATION BLVD
Practice Address - Street 2:SUITE A150
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5066
Practice Address - Country:US
Practice Address - Phone:407-303-4639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-04
Last Update Date:2013-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist