MEDICARE: MR. DEVEN PATEL MD

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	207RC0000X	Cardiovascular Disease Physician	Q1258	TX
2	207RC0000X	Cardiovascular Disease Physician	ME134975	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215198833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DEVEN PATEL MD

Provider Business Mailing Address
First Line	:	3090 CARUSO CT STE 50
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-8510
Country	:	US
Telephone Number	:	407-481-7179
Fax Number	:	407-481-7190

Provider Business Practice Location Address
First Line	:	10000 W COLONIAL DR STE 282
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3432
Country	:	US
Telephone Number	:	321-841-6444
Fax Number	:	407-650-1307

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

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	05/08/2018

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Directions to “ MR. DEVEN PATEL MD” Practice Location

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