Healthcare Provider Details

I. General information

NPI: 1861711681
Provider Name (Legal Business Name): RUCHEET PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4151 HUNTERS PARK LN STE 300
ORLANDO FL
32837-3617
US

IV. Provider business mailing address

2660 W FAIRBANKS AVE
WINTER PARK FL
32789-3385
US

V. Phone/Fax

Practice location:
  • Phone: 407-898-2767
  • Fax: 407-898-9443
Mailing address:
  • Phone: 407-898-2767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number127592
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: