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NPI Code Detail

MEDICARE: FORAM C PATEL PT

MEDICARE: FORAM C PATEL PT
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
1225100000XPhysical Therapist41794FL

General Provider Information

NPI Number : 1891371787
Entity Type Code : Individual
Provider Name (Legal Business Name) : FORAM C PATEL PT
Provider Business Mailing Address
First Line : 3282 MAINSAIL CT
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-9573
Country : US
Telephone Number : 862-419-5952
Fax Number :
Provider Business Practice Location Address
First Line : 627 8TH ST
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2159
Country : US
Telephone Number : 862-419-5952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 11/12/2024

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Directions to “ FORAM C PATEL PT” Practice Location

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