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NPI Code Detail

MEDICARE: DR. NICKHIL BHAVESH PATEL PHARM.D

MEDICARE:  DR. NICKHIL BHAVESH PATEL  PHARM.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
1183500000XPharmacistPS59659FL

General Provider Information

NPI Number : 1679123137
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICKHIL BHAVESH PATEL PHARM.D
Provider Business Mailing Address
First Line : 10971 SAVANNAH LANDING CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32832-5104
Country : US
Telephone Number : 321-482-1901
Fax Number :
Provider Business Practice Location Address
First Line : 3839 PLEASANT HILL RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-2952
Country : US
Telephone Number : 407-343-7878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2019
Last Update Date : 09/17/2019

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