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General NPI Number Information
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NPI Number | 1508514928
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Entity Type | Organization
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Legal Business Name | PATEL EYE CARE PLLC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 8685 FENTON ST STE 130
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City | ORLANDO
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State | FL
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Zip | 32836
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Country | US
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Telephone | 954-465-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 6449 SWANSON ST
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City | WINDERMERE
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State | FL
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Zip | 34786-4120
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Country | US
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Telephone | 954-465-0030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMITA PATEL
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Credential | OD
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Telephone | 954-465-0030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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