Provider Demographics
NPI:1720752470
Name:AVINASH L. JADHAV MD, PA
Entity Type:Organization
Organization Name:AVINASH L. JADHAV MD, PA
Other - Org Name:ORTHOPEDIC SPECIALIST MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AVINASH
Authorized Official - Middle Name:
Authorized Official - Last Name:JADHAV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-565-5999
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34460-0333
Mailing Address - Country:US
Mailing Address - Phone:352-565-5999
Mailing Address - Fax:
Practice Address - Street 1:17222 HOSPITAL BLVD STE 322
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-8925
Practice Address - Country:US
Practice Address - Phone:352-565-5999
Practice Address - Fax:352-565-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty