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NPI Code Detail

MEDICARE: MANISHKUMAR P PATEL

MEDICARE: MANISHKUMAR P PATEL
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
1183500000XPharmacistPS36442FL

General Provider Information

NPI Number : 1144507849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANISHKUMAR P PATEL
Provider Business Mailing Address
First Line : 311 E MEMORIAL BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33801-1766
Country : US
Telephone Number : 863-688-1386
Fax Number : 863-683-6170
Provider Business Practice Location Address
First Line : 311 E MEMORIAL BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33801-1766
Country : US
Telephone Number : 863-688-1386
Fax Number : 863-683-6170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 11/08/2011

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Directions to “ MANISHKUMAR P PATEL ” Practice Location

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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.

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