Healthcare Provider Details

I. General information

NPI: 1457351322
Provider Name (Legal Business Name): BHARAT C PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 HOFFNER AVE
ORLANDO FL
32812-2432
US

IV. Provider business mailing address

5200 HOFFNER AVE
ORLANDO FL
32812-2432
US

V. Phone/Fax

Practice location:
  • Phone: 407-326-6898
  • Fax: 407-326-6882
Mailing address:
  • Phone: 407-326-6898
  • Fax: 407-326-6882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME93866
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME93866
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License NumberME93866
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME93866
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME83866
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME93866
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: