Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME48046 | FL |
Y | 207RH0003X | Hematology & Oncology | ME48046 | FL |
NPI | 1033189584 |
---|---|
Provider Name | Dr. Sunil C Patel |
First Address | Fort Myers, FL 33907-1412 |
Second Address | Boca Raton, FL 33428-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 11/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017446 | AVMED (01) | FL |
1256813 | WELLCARE (01) | FL |
2940469 | CIGNA (01) | FL |
3210 | DIMENSION HEALTH (01) | FL |
5047031 | AETNA (01) | FL |
94414 | BCBS (01) | FL |
P01607917 | RR MEDICARE (01) | FL |
P1034139 | FREEDOM (01) | FL |
P971794 | OPTIMUM (01) | FL |