Healthcare Provider Details

I. General information

NPI: 1316502479
Provider Name (Legal Business Name): VIKITA KALPEN PATEL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2019
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 OLD WINTER GARDEN RD STE 2775
OCOEE FL
34761-2995
US

IV. Provider business mailing address

16766 RUSTY ANCHOR RD
WINTER GARDEN FL
34787-0018
US

V. Phone/Fax

Practice location:
  • Phone: 407-813-1800
  • Fax:
Mailing address:
  • Phone: 321-830-0272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS58738
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: