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NPI Code Detail

MEDICARE: MITESHKUMAR PATEL PT

MEDICARE: MITESHKUMAR PATEL PT
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
1261QP2000XPhysical Therapy Clinic/CenterPT31474FL

General Provider Information

NPI Number : 1134910441
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITESHKUMAR PATEL PT
Provider Business Mailing Address
First Line : 1477 40TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-0718
Country : US
Telephone Number : 940-224-7563
Fax Number :
Provider Business Practice Location Address
First Line : 3855 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4882
Country : US
Telephone Number : 772-770-3796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2025
Last Update Date : 05/15/2025

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Directions to “ MITESHKUMAR PATEL PT” Practice Location

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