Healthcare Provider Details

I. General information

NPI: 1003234337
Provider Name (Legal Business Name): SAURABH VADILAL PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR
OCOEE FL
34761-3400
US

IV. Provider business mailing address

10000 W COLONIAL DR STE 481 & STE 482
OCOEE FL
34761-3400
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-6444
  • Fax:
Mailing address:
  • Phone: 321-841-6444
  • Fax: 407-290-2118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME149527
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD474214
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT205562
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME149527
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: