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Organization
RADIAL HEALTH SOUTHEAST LLC
Active
Organization
RADIAL HEALTH SOUTHEAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMISH PATEL DO (PRESIDENT)
(816) 728-3674
Entity
Organization
Contact information
Practice address
2045 FOUNTAIN PROFESSIONAL CT STE A, NAVARRE, FL 32566-5108
(850) 494-3212
Mailing address
2500 W HIGGINS RD STE 1165, HOFFMAN ESTATES, IL 60169-2050
(678) 234-2992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
11/16/2024
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