Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME105229 | FL |
Y | 207RX0202X | Medical Oncology | ME105229 | FL |
NPI | 1457408254 |
---|---|
Provider Name | Dr. Manish R. Patel |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Sarasota, FL 34232-6422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003708000 | (05) | FL |