Healthcare Provider Details

I. General information

NPI: 1437070695
Provider Name (Legal Business Name): HANEL PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 MADACA LN
TAMPA FL
33618-2048
US

IV. Provider business mailing address

4844 SKY BLUE DR
LUTZ FL
33558-8058
US

V. Phone/Fax

Practice location:
  • Phone: 813-992-7484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11049457
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: