Healthcare Provider Details
I. General information
NPI: 1922799931
Provider Name (Legal Business Name): SAHIL PARESH PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/19/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9332 STATE ROAD 54 STE 202
TRINITY FL
34655-1810
US
IV. Provider business mailing address
9332 STATE ROAD 54 STE 202
TRINITY FL
34655-1810
US
V. Phone/Fax
- Phone: 727-808-3136
- Fax:
- Phone: 727-808-3136
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME182713 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: