Healthcare Provider Details

I. General information

NPI: 1699150284
Provider Name (Legal Business Name): PAYAL G. PATEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAYAL G FINAVIYA APRN

II. Dates (important events)

Enumeration Date: 07/23/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8614 STATE ROAD 70 E STE 200
BRADENTON FL
34202-3710
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 941-727-1243
  • Fax: 941-751-9039
Mailing address:
  • Phone: 833-702-8383
  • Fax: 833-449-2462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11002408
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-128278
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: