Healthcare Provider Details

I. General information

NPI: 1003884040
Provider Name (Legal Business Name): SNEHAL V PARIKH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 9TH STREET DR W
PALMETTO FL
34221-4802
US

IV. Provider business mailing address

218 9TH STREET DR W
PALMETTO FL
34221-4802
US

V. Phone/Fax

Practice location:
  • Phone: 941-721-3900
  • Fax: 941-721-7403
Mailing address:
  • Phone: 941-721-3900
  • Fax: 941-721-7403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME83745
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: