MEDICARE: MITUL V PATEL DO

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	390200000X	Student in an Organized Health Care Education/Training Program		FL
2	207RI0011X	Interventional Cardiology Physician	OS20874	FL
3	207RC0000X	Cardiovascular Disease Physician	415358	FL

General Provider Information

NPI Number	:	1689104341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITUL V PATEL DO

Provider Business Mailing Address
First Line	:	5400 PINEHURST DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-3833
Country	:	US
Telephone Number	:	352-277-5348
Fax Number	:	352-606-2857

Provider Business Practice Location Address
First Line	:	14100 FIVAY RD STE 310
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7160
Country	:	US
Telephone Number	:	727-471-5882
Fax Number	:	727-471-6112

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

Provider Enumeration Date	:	06/15/2017
Last Update Date	:	04/02/2026

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Directions to “ MITUL V PATEL DO” Practice Location

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