Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | ME95909 | FL |
NPI | 1417990524 |
---|---|
Provider Name | Kamlesh P Patel |
First Address | Sun City Center, FL 33573 |
Second Address | Sun City Center, FL 33573 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |