Healthcare Provider Details

I. General information

NPI: 1437538337
Provider Name (Legal Business Name): NIMA PATEL FLORIO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8202 EXCELSIOR DR
MADISON WI
53717-1906
US

IV. Provider business mailing address

1265 JOHN Q HAMMONS DR
MADISON WI
53717-1921
US

V. Phone/Fax

Practice location:
  • Phone: 608-251-4156
  • Fax:
Mailing address:
  • Phone: 608-251-4156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number75658
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: