Male or Other

Dr. Ronak A. Patel DO

Interventional Pain Medicine Physician in Jacksonville, FL(View on Map)

Full Name

Dr. Ronak Arvind Patel DO

NPI Number

1558420893

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/06/2006

Specialties

(Taxonomies)

Code

208VP0014X
207L00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

OS10480
UO-1422

Contact
Information

Purpose

Mailing
Location

Address

6800 SOUTHPOINT PKWY STE 300
2627 RIVERSIDE AVE STE 300

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32216-8203
32204-4717

Country

US
US

Telephone Number

(904) 634-0640
(904) 634-0640

Identifiers

Identifier

79259
0004657-00
835534911A

Identifier State

FL
FL
GA

Identifier Issuer

BCBS
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/26/2023

Provider Address

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