Healthcare Provider Details

I. General information

NPI: 1073251096
Provider Name (Legal Business Name): VIKRAM PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 MEADOW CREST DR
APOPKA FL
32712-5634
US

IV. Provider business mailing address

1918 MEADOW CREST DR
APOPKA FL
32712-5634
US

V. Phone/Fax

Practice location:
  • Phone: 407-496-7765
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number182408
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: