Healthcare Provider Details

I. General information

NPI: 1629607445
Provider Name (Legal Business Name): JAIMIN JEETENDRA PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27516 CASHFORD CIR STE 101
WESLEY CHAPEL FL
33544-6910
US

IV. Provider business mailing address

27516 CASHFORD CIR STE 101
WESLEY CHAPEL FL
33544-6910
US

V. Phone/Fax

Practice location:
  • Phone: 813-406-4400
  • Fax: 813-929-6633
Mailing address:
  • Phone: 813-406-4400
  • Fax: 813-929-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number176410
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: