MEDICARE: PAYAL CHINTAN PATEL MSN,FNP-BC

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	363LF0000X	Family Nurse Practitioner	APRN11032101	FL

General Provider Information

NPI Number	:	1770445082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAYAL CHINTAN PATEL MSN,FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 850001, DEPT 8340
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32885-0001
Country	:	US
Telephone Number	:	813-536-7277
Fax Number	:	855-830-1722

Provider Business Practice Location Address
First Line	:	6703 38TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-1536
Country	:	US
Telephone Number	:	727-213-5377
Fax Number	:	727-828-9639

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

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	12/16/2025

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