Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | ME137701 | FL |
NPI | 1235559774 |
---|---|
Provider Name | Jiten Vasantlal Patel |
First Address | Tampa, FL 33622-5317 |
Second Address | Tampa, FL 33613-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2014 |
Last Update Date | 17/08/2021 |