Healthcare Provider Details

I. General information

NPI: 1922939909
Provider Name (Legal Business Name): NIKHIL PATEL RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MICCOSUKEE RD
TALLAHASSEE FL
32308-5054
US

IV. Provider business mailing address

3101 S FERDON BLVD
CRESTVIEW FL
32536-8480
US

V. Phone/Fax

Practice location:
  • Phone: 850-431-1155
  • Fax:
Mailing address:
  • Phone: 561-685-2298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberRT24198
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: