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Organization
NEO DOC OF SWFL PA
Active
Organization
NEO DOC OF SWFL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIGNESH B PATEL MD, FAAP (PRESIDENT)
(732) 309-1292
Entity
Organization
Contact information
Practice address
1181 S SUMTER BLVD, #311, NORTH PORT, FL 34287-2335
(732) 218-6005
Mailing address
1181 S SUMTER BLVD, #311, NORTH PORT, FL 34287-2335
(732) 218-6005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME 101565
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
ME 101565
FL
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
NULL
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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