Healthcare Provider Details

I. General information

NPI: 1073400214
Provider Name (Legal Business Name): KARISHMA PATEL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5908 RED BUG LAKE RD
WINTER SPRINGS FL
32708-5011
US

IV. Provider business mailing address

228 TAVESTOCK LOOP
WINTER SPRINGS FL
32708-2711
US

V. Phone/Fax

Practice location:
  • Phone: 407-270-1093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN30587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: