Healthcare Provider Details

I. General information

NPI: 1457224198
Provider Name (Legal Business Name): PATEL HEAD AND NECK SURGERY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3641 S MIAMI AVE STE 170
MIAMI FL
33133-4219
US

IV. Provider business mailing address

4501 SW 4TH ST
CORAL GABLES FL
33134-1913
US

V. Phone/Fax

Practice location:
  • Phone: 305-390-1890
  • Fax: 305-359-6721
Mailing address:
  • Phone: 305-390-1890
  • Fax: 305-359-6721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: NEEL PATEL
Title or Position: PRESIDENT
Credential: MD,DMD, FACS
Phone: 305-390-1890