Healthcare Provider Details

I. General information

NPI: 1205314127
Provider Name (Legal Business Name): ANKIT H PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2018
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 INDIAN ROCKS RD
LARGO FL
33774
US

IV. Provider business mailing address

1817 NW 83RD LOOP
OCALA FL
34475-1683
US

V. Phone/Fax

Practice location:
  • Phone: 727-588-5200
  • Fax:
Mailing address:
  • Phone: 727-481-4563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME179262
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: