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NPI Code Detail

MEDICARE: HARDIK N PATEL

MEDICARE: HARDIK N 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 TherapistPT32900FL

General Provider Information

NPI Number : 1558944314
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARDIK N PATEL
Provider Business Mailing Address
First Line : 836 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2526
Country : US
Telephone Number : 850-238-9911
Fax Number :
Provider Business Practice Location Address
First Line : 3611 TRANSMITTER RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-9799
Country : US
Telephone Number : 850-588-4643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2021
Last Update Date : 04/29/2021

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Directions to “ HARDIK N PATEL ” Practice Location

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