Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 270660 | MA |
Y | 207K00000X | Allergist & Immunologist | OS16686 | FL |
NPI | 1174941645 |
---|---|
Provider Name | Nilamben Patel |
First Address | North Port, FL 34289-9306 |
Second Address | North Port, FL 34289-9306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 15/09/2021 |