Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME135922 | FL |
NPI | 1043537335 |
---|---|
Provider Name | Milan Ravindra Patel |
First Address | Clearwater, FL 33762-5323 |
Second Address | Palm Harbor, FL 34684-2619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 28/09/2021 |