Healthcare Provider Details

I. General information

NPI: 1477935245
Provider Name (Legal Business Name): PRAGATI GUSMANO ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. PRAGATI PATEL

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 GAY RD SUITE 204
WINTER PARK FL
32789-2928
US

IV. Provider business mailing address

1414 GAY RD SUITE 204
WINTER PARK FL
32789-2928
US

V. Phone/Fax

Practice location:
  • Phone: 321-209-1689
  • Fax:
Mailing address:
  • Phone: 321-209-1689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-268
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: