MEDICARE: PRITIBEN MOHAN 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
1	183500000X	Pharmacist	53409	CA
2	183500000X	Pharmacist	9572	SC
3	183500000X	Pharmacist	PS41213	FL

General Provider Information

NPI Number	:	1821275199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRITIBEN MOHAN PATEL PHARM.D.

Provider Business Mailing Address
First Line	:	1472 VIA SANGRO PL
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-6243
Country	:	US
Telephone Number	:	407-617-6738
Fax Number	:

Provider Business Practice Location Address
First Line	:	263 WINDING HOLLOW BLVD STE 1005
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4035
Country	:	US
Telephone Number	:	610-834-1122
Fax Number	:

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

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	01/21/2022

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