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NPI Code Detail

MEDICARE: DR. MRUNAL ABHIJIT PATIL MD

MEDICARE: DR. MRUNAL ABHIJIT PATIL MD
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
1207Q00000XFamily Medicine PhysicianMD444385PA
2207Q00000XFamily Medicine PhysicianME123560FL

Other Identifiers

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

General Provider Information

NPI Number : 1831323542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MRUNAL ABHIJIT PATIL MD
Provider Business Mailing Address
First Line : PO BOX 616788
Second Line :
City : ORLANDO
State : FL
Zip : 32861-6788
Country : US
Telephone Number : 407-447-7120
Fax Number : 407-770-0661
Provider Business Practice Location Address
First Line : 14075 TOWN LOOP BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-6132
Country : US
Telephone Number : 407-438-5858
Fax Number : 407-438-7172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2009
Last Update Date : 11/23/2021

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