Healthcare Provider Details

I. General information

NPI: 1639097751
Provider Name (Legal Business Name): AKASH PARESHBHAI PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1601 6TH ST SE STE B
WINTER HAVEN FL
33880-4605
US

IV. Provider business mailing address

38371 LOMAN CT
NORTH RIDGEVILLE OH
44039-9808
US

V. Phone/Fax

Practice location:
  • Phone: 863-294-0350
  • Fax: 863-294-0381
Mailing address:
  • Phone: 440-310-1148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number44826
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: