JAI HO LLC (NPI# 1235507781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235507781 |
| Entity Type | Organization |
| Organization Name | JAI HO LLC |
| Other Organization Name | MALABAR MEDICAL WALK IN CLINIC |
| Practice Address |
1663 Georgia Street Suite 400 Palm Bay FL 32907 |
| Practice Telephone | 3218029080 |
| Practice Fax Number | 3218025211 |
| Mailing Telephone | 3218029080 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | DR. KANTILAL H BHALANI (MD) |
| Authorized Official Telephone | 3218029080 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI NUMBER | 1235507781 | 01 |
| Other Name | Type Code |
|---|---|
| Malabar Medical Walk In Clinic | Doing Business As Name - Organization |
| Street Address |
1663 GEORGIA STREET SUITE 400 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1316289432 | A & M Assisted Living Facility Inc. | Assisted Living Facility | 1581 Zaffer St, Palm Bay, FL 32907 | 2013-03-27 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959324 | Rebecca Dawn Proffitt | Family Medicine | 5055 Babcock St Ne Ste 2, Palm Bay, FL 32905-4673 | 2020-07-16 |
| 1891848370 | Stanley F Dziedzic | Family Medicine | 1155 Malabar Rd Ne Ste 10, Palm Bay, FL 32907-3262 | 2007-01-19 |
| 1477622066 | Steven Wayne Wright | Family Medicine | 1452 Bellaire Lane Ne, Palm Bay, FL 32905 | 2006-11-07 |
| 1922108745 | Jeffrey Lynn Wilson | Family Medicine | 1810 Eldron Blvd., Se, Palm Bay, FL 32909 | 2006-09-22 |
| 1770688434 | Kantilal Bhalani | Family Medicine | 1663 Georgia St Ne Ste 400, Malabar Medical Walk In Clinic, Palm Bay, FL 32907-2537 | 2006-09-14 |
| 1659326353 | Steven Farbowitz | Family Medicine | 590 Malabar Road, Suite 6 &7, Palm Bay, FL 32907-3108 | 2006-05-23 |
| 1134186794 | German Castro | Family Medicine | 1091 Port Malabar Blvd Ne Suite-1, Palm Bay, FL 32905-5100 | 2006-04-27 |
| 1194701607 | Ronald V Trout | Family Medicine | 6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907-1900 | 2005-12-16 |
| 1114910965 | Thomas L Garvin | Family Medicine | 5270 Babcock St Ne, Ste 1, Palm Bay, FL 32905-8630 | 2005-08-26 |
| 1699034454 | Amanda Cunningham Antonio | Family Medicine | 1810 Eldron Blvd Se, Palm Bay, FL 32909 | 2012-05-14 |
| Find all providers in PALM BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.