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NPI Code Detail

MEDICARE: VYOMA PATEL

MEDICARE:   VYOMA  PATEL
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
1225100000XPhysical TherapistPT25248FL

General Provider Information

NPI Number : 1336463751
Entity Type Code : Individual
Provider Name (Legal Business Name) : VYOMA PATEL
Provider Business Mailing Address
First Line : 13156 MORO CT
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12184 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5012
Country : US
Telephone Number : 407-382-3777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2010
Last Update Date : 03/15/2010

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Directions to “ VYOMA PATEL ” Practice Location

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