Healthcare Provider Details

I. General information

NPI: 1588587067
Provider Name (Legal Business Name): RIMA R PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4873 PLANTATION BLVD
NORTH PORT FL
34289-9504
US

IV. Provider business mailing address

6221 WILLOW BECK LN APT 202
BRADENTON FL
34202-5249
US

V. Phone/Fax

Practice location:
  • Phone: 608-697-4295
  • Fax:
Mailing address:
  • Phone: 951-473-4264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70673
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: