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NPI Code Detail

MEDICARE: DHVANI PATEL BSC. PHARM

MEDICARE: DHVANI PATEL BSC. PHARM
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
1183500000XPharmacistPS54698FL

General Provider Information

NPI Number : 1306410311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DHVANI PATEL BSC. PHARM
Provider Business Mailing Address
First Line : 13247 WELLINGTON HILLS DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7200
Country : US
Telephone Number : 407-808-9971
Fax Number :
Provider Business Practice Location Address
First Line : 3134 E HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4528
Country : US
Telephone Number : 813-444-4666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2021
Last Update Date : 05/14/2021

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