Healthcare Provider Details
I. General information
NPI: 1134428691
Provider Name (Legal Business Name): NEIL UMESHBHAI PARIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2011
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11325 LAKE UNDERHILL RD STE 101
ORLANDO FL
32825-5090
US
IV. Provider business mailing address
10937 MOSS PARK RD UNIT 546
ORLANDO FL
32832-6050
US
V. Phone/Fax
- Phone: 407-299-7333
- Fax:
- Phone: 407-374-3080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME130565 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | ME130565 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: