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NPI Code Detail

MEDICARE: DR. NEIL MAHESH PATEL PHARMD

MEDICARE: DR. NEIL MAHESH PATEL PHARMD
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
1183500000XPharmacistPS47467FL

General Provider Information

NPI Number : 1972872257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL MAHESH PATEL PHARMD
Provider Business Mailing Address
First Line : 1521 W GRANADA BLVD
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5920
Country : US
Telephone Number : 386-672-2030
Fax Number :
Provider Business Practice Location Address
First Line : 1521 W GRANADA BLVD
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5920
Country : US
Telephone Number : 386-672-2030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2011
Last Update Date : 02/18/2022

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