| Js Healthcare, Inc | |
|
201 N Lakemont Ave Suite 2300 Winter Park FL 32792 | |
| (321) 444-6560 | |
| (407) 960-1902 |
| Full Name | Js Healthcare, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 N Lakemont Ave, Winter Park, Florida |
| Authorized Official Name and Position | Shwetanshu Maheshkumar Shukla (PRESIDENT/CEO) |
| Authorized Official Contact | 4074159196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Js Healthcare, Inc Po Box 948237 Maitland FL 32794-8237 Ph: (321) 444-6560 | Js Healthcare, Inc 201 N Lakemont Ave Suite 2300 Winter Park FL 32792 Ph: (321) 444-6560 |
| NPI Number | 1598133993 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 06/06/2018 |
| Medicare PECOS PAC ID | 6800190497 |
|---|---|
| Medicare Enrollment ID | O20160202000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598133993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Shwetanshu M. Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588861751 PECOS PAC ID: 2062559271 Enrollment ID: I20091021000060 |
| Provider Name | Alex Orandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144752239 PECOS PAC ID: 1951678630 Enrollment ID: I20170531001171 |
| Provider Name | Courtney Nicole Segura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245829878 PECOS PAC ID: 0143638114 Enrollment ID: I20210413001486 |
| Provider Name | Shelley H Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255603817 PECOS PAC ID: 4981850484 Enrollment ID: I20210826000251 |
| Provider Name | Melinda Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134885999 PECOS PAC ID: 6608267794 Enrollment ID: I20211228001571 |
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