Jaishiva PA
NPI #1669068375 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1669068375
- Entity Type
- Organization
- Organization Name
- Jaishiva PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 16, 2020
- Last Updated
- Dec 16, 2020
Practice Location
- Address
- 466 SW PORT ST LUCIE BLVD STE 117
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34953-2091
- Phone
- (772) 918-9034
Authorized Official
- Name
- DR. PAYAL P CHOKSHI, DMD
- Title
- DENTIST/OWNER
- Phone
- (561) 703-0219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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