Provider Demographics
NPI:1801096037
Name:PAREKH, MEHUL K (MD)
Entity type:Individual
Prefix:DR
First Name:MEHUL
Middle Name:K
Last Name:PAREKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 45443
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84145-0443
Mailing Address - Country:US
Mailing Address - Phone:904-202-1032
Mailing Address - Fax:904-376-4107
Practice Address - Street 1:12341 YELLOW BLUFF RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226-2013
Practice Address - Country:US
Practice Address - Phone:904-757-8308
Practice Address - Fax:904-757-8337
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME105015207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00787593OtherRR MEDICARE
FL009705900Medicaid
FL009705900Medicaid