Healthcare Provider Details

I. General information

NPI: 1235135914
Provider Name (Legal Business Name): NALIN JASHBHAI PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 MEDICAL PARK DR SUITE 200
TAMPA FL
33613-4680
US

IV. Provider business mailing address

1800 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG FL
33704-4222
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-3353
  • Fax: 813-978-3667
Mailing address:
  • Phone: 727-865-4288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberME74638
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME74638
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: