Healthcare Provider Details

I. General information

NPI: 1093947772
Provider Name (Legal Business Name): BELLA PATEL CHOKSHI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2009
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

9611 N US HIGHWAY 1 # 166
SEBASTIAN FL
32958-6363
US

V. Phone/Fax

Practice location:
  • Phone: 561-331-1767
  • Fax: 561-318-4767
Mailing address:
  • Phone: 772-581-3990
  • Fax: 772-581-3991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOS 11930
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: