Healthcare Provider Details

I. General information

NPI: 1457783045
Provider Name (Legal Business Name): DHRUVANG BIPIN PATEL PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8790 W MCNAB RD
TAMARAC FL
33321-3214
US

IV. Provider business mailing address

8790 W MCNAB RD
TAMARAC FL
33321-3214
US

V. Phone/Fax

Practice location:
  • Phone: 954-726-6008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS50913
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: