Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO3211 | FL |
Y | 222Z00000X | Podiatrist | PO3211 | FL |
N | 2081S0010X | Sports Medicine | PO3211 | FL |
N | 213ES0000X | Sports Medicine | PO3211 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO3211 | FL |
NPI | 1427071737 |
---|---|
Provider Name | Nimesh M Patel |
First Address | Brooksville, FL 34613-6072 |
Second Address | Hudson, FL 34667-1431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 30/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V05758 | (02) |