Healthcare Provider Details

I. General information

NPI: 1205216058
Provider Name (Legal Business Name): NEEL PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 LAND O LAKES BLVD STE 101
LAND O LAKES FL
34639-4407
US

IV. Provider business mailing address

3632 LAND O LAKES BLVD STE 101
LAND O LAKES FL
34639-4407
US

V. Phone/Fax

Practice location:
  • Phone: 813-606-5668
  • Fax: 813-729-8669
Mailing address:
  • Phone: 813-606-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME140407
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: