MEDICARE: MRS. SONAL PATEL ARNP

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	363LP2300X	Primary Care Nurse Practitioner	9323182	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

General Provider Information

NPI Number	:	1538603014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONAL PATEL ARNP

Provider Business Mailing Address
First Line	:	2615 WINDGUARD CIR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-7353
Country	:	US
Telephone Number	:	201-375-8890
Fax Number	:	813-333-9991

Provider Business Practice Location Address
First Line	:	2615 WINDGUARD CIR STE 102
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-7353
Country	:	US
Telephone Number	:	813-333-9991
Fax Number	:

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

Provider Enumeration Date	:	12/19/2016
Last Update Date	:	02/21/2023

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