MEDICARE: DR. DANIEL VINOD PATEL M.D.

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	207RN0300X	Nephrology Physician	ME104493	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669683769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL VINOD PATEL M.D.

Provider Business Mailing Address
First Line	:	3001 PALM HARBOR BLVD STE A
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-1930
Country	:	US
Telephone Number	:	727-474-0090
Fax Number	:	727-474-0055

Provider Business Practice Location Address
First Line	:	1180 N WILLIAMSON BLVD STE 100
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-8176
Country	:	US
Telephone Number	:	386-274-4244
Fax Number	:	386-274-4245

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	03/26/2020

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