Healthcare Provider Details

I. General information

NPI: 1295268068
Provider Name (Legal Business Name): TRUSHIL PATEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 BUDINGER AVE STE 101
SAINT CLOUD FL
34769-4123
US

IV. Provider business mailing address

1330 BUDINGER AVE STE 101
SAINT CLOUD FL
34769-4123
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-6444
  • Fax: 407-891-2941
Mailing address:
  • Phone: 321-841-6444
  • Fax: 407-891-2941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberOS16747
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS16747
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: