Healthcare Provider Details

I. General information

NPI: 1396267688
Provider Name (Legal Business Name): HARDIKKUMAR HARIBHAI PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2017
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 S PINE AVE STE 204
OCALA FL
34471-6524
US

IV. Provider business mailing address

1219 S PINE AVE STE 204
OCALA FL
34471-6524
US

V. Phone/Fax

Practice location:
  • Phone: 352-354-9000
  • Fax:
Mailing address:
  • Phone: 352-354-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number305357
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME181607
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: