MEDICARE: NEHA D PATEL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	25MP00104600	NJ
2	363AM0700X	Medical Physician Assistant	PA9109904	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003801598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA D PATEL PA-C

Provider Business Mailing Address
First Line	:	1245 W GRANADA BLVD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5914
Country	:	US
Telephone Number	:	386-317-9055
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 W GRANADA BLVD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5914
Country	:	US
Telephone Number	:	386-317-9055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	12/12/2019

Similar Medicare Providers

1235637471 — ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Practice Location Address:

1245 W GRANADA BLVD
ORMOND BEACH, FL
32174-5914

Practice Phone: 407-200-2300
Practice Fax:

1376305938 — H2 REHABILITATION SERVICES OF FLORIDA LLC
Practice Location Address:

1211 W GRANADA BLVD STE H2
ORMOND BEACH, FL
32174-5914

Practice Phone: 800-699-9395
Practice Fax:

1659244044 — MS. KRISTINA SHAE BRADLEY
Practice Location Address:

1245 W GRANADA BLVD
ORMOND BEACH, FL
32174-5914

Practice Phone: 386-317-9055
Practice Fax:

1659248136 — FORTICI MEDICI HEALTH LLC
Practice Location Address:

4261 NE 18TH AVE
POMPANO BEACH, FL
33064-5914

Practice Phone: 561-572-5110
Practice Fax:

1497788103 — DR. ROSTISLAV IGNATOV M.D.
Practice Location Address:

1325 N HAVERHILL RD
WEST PALM BEACH, FL
33417-5914

Practice Phone: 305-924-6593
Practice Fax:

1790822666 — MR. BRADFORD C SKIFF M.S., A.T.C.
Practice Location Address:

13138 HIDDEN BEACH WAY
CLERMONT, FL
34711-5914

Practice Phone: 321-221-0389
Practice Fax:

Directions to “ NEHA D PATEL PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.