MEDICARE: DHUNISHA PATEL NURSE PRACTITIONER

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	363LF0000X	Family Nurse Practitioner	11034697	FL

General Provider Information

NPI Number	:	1215786637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DHUNISHA PATEL NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	8727 GRANDEE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-8649
Country	:	US
Telephone Number	:	407-592-2762
Fax Number	:

Provider Business Practice Location Address
First Line	:	8727 GRANDEE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-8649
Country	:	US
Telephone Number	:	407-592-2762
Fax Number	:

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

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	02/02/2026

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Directions to “ DHUNISHA PATEL NURSE PRACTITIONER” Practice Location

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