MEDICARE: URVISH K PATEL RPH

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	183500000X	Pharmacist	PS37196	FL

General Provider Information

NPI Number	:	1518561794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	URVISH K PATEL RPH

Provider Business Mailing Address
First Line	:	3258 MEDINA CT
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-3730
Country	:	US
Telephone Number	:	407-453-1312
Fax Number	:

Provider Business Practice Location Address
First Line	:	1098 MONTGOMERY RD
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7420
Country	:	US
Telephone Number	:	407-869-6463
Fax Number	:	407-869-7318

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

Provider Enumeration Date	:	11/28/2020
Last Update Date	:	11/28/2020

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