Healthcare Provider Details

I. General information

NPI: 1568307650
Provider Name (Legal Business Name): ALDEN PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 SAN PABLO RD S
JACKSONVILLE FL
32224-1865
US

IV. Provider business mailing address

441 ROYAL TERN RD S
JACKSONVILLE BEACH FL
32250-2485
US

V. Phone/Fax

Practice location:
  • Phone: 904-953-8139
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License NumberPS36701
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: