Healthcare Provider Details

I. General information

NPI: 1336520105
Provider Name (Legal Business Name): CLOUD CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 10TH ST
SAINT CLOUD FL
34769-3343
US

IV. Provider business mailing address

1222 10TH ST
SAINT CLOUD FL
34769-3343
US

V. Phone/Fax

Practice location:
  • Phone: 407-593-0323
  • Fax: 407-593-0324
Mailing address:
  • Phone: 407-593-0323
  • Fax: 407-593-0324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberME103425
License Number StateFL

VIII. Authorized Official

Name: MEHULKUMAR PATEL
Title or Position: OWNER
Credential:
Phone: 289-689-9213