Healthcare Provider Details

I. General information

NPI: 1750199311
Provider Name (Legal Business Name): PATEL SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5429 COMMERCIAL WAY
SPRING HILL FL
34606-1110
US

IV. Provider business mailing address

PO BOX 640279
BEVERLY HILLS FL
34464-0279
US

V. Phone/Fax

Practice location:
  • Phone: 352-574-6162
  • Fax: 352-293-3740
Mailing address:
  • Phone: 352-574-6162
  • Fax: 352-293-3740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PARTH U. PATEL
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 848-667-9064