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NPI Code Detail

MEDICARE: ROSHNI B PATEL M.D.

MEDICARE: ROSHNI B PATEL M.D.
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
1207Q00000XFamily Medicine PhysicianME89960FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME89960OTHERFLLICENSE

General Provider Information

NPI Number : 1174614762
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSHNI B PATEL M.D.
Provider Business Mailing Address
First Line : 2675 WINKLER AVE STE 200
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9328
Country : US
Telephone Number : 877-856-3774
Fax Number : 941-244-9437
Provider Business Practice Location Address
First Line : 408 MANATEE AVE E STE 2
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1135
Country : US
Telephone Number : 941-748-1331
Fax Number : 941-746-2803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 01/08/2026

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Directions to “ ROSHNI B PATEL M.D.” Practice Location

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