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General NPI Number Information
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NPI Number | 1528166295
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Entity Type | Individual
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Provider Name | PRITESH PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 18928 N DALE MABRY HWY STE 101
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City | LUTZ
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State | FL
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Zip | 33548-4922
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Country | US
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Telephone | 813-909-1146
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Fax | 813-909-4334
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Provider Business Mailing Address
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Address Line | PO BOX 850001, DEPT 8340
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City | ORLANDO
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State | FL
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Zip | 32885-0001
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Country | US
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Telephone | 813-536-7277
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Fax | 855-830-1722
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME88796
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License Number State | FL
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