Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 70958 | FL |
N | 2080P0201X | Pediatric Allergist | 70958 | FL |
NPI | 1912973033 |
---|---|
Provider Name | Pragnesh H Patel |
First Address | Altamonte Springs, FL 32701-5105 |
Second Address | Altamonte Springs, FL 32701-5105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 28/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
251420600 | (05) | FL |
F78613 | (02) | FL |