# RADIAL HEALTH SOUTHEAST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174159891
- **Authorized official:** AMISH PATEL DO (PRESIDENT)
- **Authorized official phone:** (816) 728-3674

## Contact information

- **Practice address:** 2045 FOUNTAIN PROFESSIONAL CT STE A, NAVARRE, FL 32566-5108
- **Practice address phone:** (850) 494-3212
- **Mailing address:** 2500 W HIGGINS RD STE 1165, HOFFMAN ESTATES, IL 60169-2050
- **Mailing address phone:** (678) 234-2992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2020
- **Last updated:** 11/16/2024