Provider Demographics
NPI:1881571578
Name:GOLD STAR PEDIATRICS PA
Entity type:Organization
Organization Name:GOLD STAR PEDIATRICS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIGNESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-266-5629
Mailing Address - Street 1:3149 BOBCAT VILLAGE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34288-8974
Mailing Address - Country:US
Mailing Address - Phone:941-266-5629
Mailing Address - Fax:888-498-4926
Practice Address - Street 1:3189 BOBCAT VILLAGE CENTER RD
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34288-8974
Practice Address - Country:US
Practice Address - Phone:941-266-5629
Practice Address - Fax:888-498-4926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLD STAR PEDIATRICS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Multi-Specialty