MEDICARE: NEHA 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
1	183500000X	Pharmacist	PS61348	FL

General Provider Information

NPI Number	:	1720677594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA PATEL

Provider Business Mailing Address
First Line	:	5991 S GOLDENROD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-8775
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5991 S GOLDENROD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-8775
Country	:	US
Telephone Number	:	407-374-3310
Fax Number	:

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

Provider Enumeration Date	:	01/15/2021
Last Update Date	:	03/04/2021

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Directions to “ NEHA PATEL ” Practice Location

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