Healthcare Provider Details
I. General information
NPI: 1053600908
Provider Name (Legal Business Name): YOGI R PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/31/2011
Last Update Date: 08/05/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4343 W NEWBERRY RD
GAINESVILLE FL
32607-2817
US
IV. Provider business mailing address
4881 NW 8TH AVE SUITE 2
GAINESVILLE FL
32605-4582
US
V. Phone/Fax
- Phone: 352-224-2204
- Fax: 352-375-6888
- Phone: 352-547-2373
- Fax: 352-416-1813
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | ME114182 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | ME114182 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: