MEDICARE: HARSHAL JANI P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA10933	TX
2	363A00000X	Physician Assistant	PA9120626	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IL2613	OTHER	IL	MEDICARE GROUP PTAN
3	IL2613048	OTHER	IL	MEDICARE INDIVIDUAL PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4622394	OTHER		BCBS

General Provider Information

NPI Number	:	1154361566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARSHAL JANI P.A.

Provider Business Mailing Address
First Line	:	9975 TAVISTOCK LAKES BLVD STE 220
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7665
Country	:	US
Telephone Number	:	407-930-7801
Fax Number	:	407-930-7806

Provider Business Practice Location Address
First Line	:	9975 TAVISTOCK LAKES BLVD STE 220
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7665
Country	:	US
Telephone Number	:	407-930-7801
Fax Number	:	407-930-7806

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	12/10/2025

Similar Medicare Providers

1043215361 — DR. DAVID R FRIES M.D.
Practice Location Address:

9975 TAVISTOCK LAKES BLVD STE 360
ORLANDO, FL
32827-7665

Practice Phone: 407-266-3627
Practice Fax: 407-266-4911

1205869658 — ABDO RAYMOND ASMAR M.D.
Practice Location Address:

9975 TAVISTOCK LAKES BLVD STE 160
ORLANDO, FL
32827-7665

Practice Phone: 407-266-3627
Practice Fax: 407-882-4799

1255412102 — NAVEED SAMI MD
Practice Location Address:

9975 TAVISTOCK LAKES BLVD STE 160
ORLANDO, FL
32827-7665

Practice Phone: 407-266-3627
Practice Fax: 407-882-4799

1194046144 — DAVID A WEINSTEIN M.D.
Practice Location Address:

9975 TAVISTOCK LAKES BLVD STE 360
ORLANDO, FL
32827-7665

Practice Phone: 407-266-3627
Practice Fax: 407-882-4799

1942615851 — MANJU KANIKUNNEL
Practice Location Address:

9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL
32827-7665

Practice Phone: 407-930-7801
Practice Fax: 407-930-7806

1699164376 — ANDREW PHILLIP ALVAREZ M.D.
Practice Location Address:

9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL
32827-7665

Practice Phone: 844-407-4070
Practice Fax: 407-743-3050

Directions to “ HARSHAL JANI P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.