Healthcare Provider Details

I. General information

NPI: 1144712712
Provider Name (Legal Business Name): MEGHA PATEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981 37TH PL
VERO BEACH FL
32960-6541
US

IV. Provider business mailing address

201 S PARROTT AVE
OKEECHOBEE FL
34974-4338
US

V. Phone/Fax

Practice location:
  • Phone: 772-257-5785
  • Fax:
Mailing address:
  • Phone: 662-889-1267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS55478
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: