# NEO DOC OF SWFL PA

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

## Provider details

- **NPI number:** 1396066940
- **Authorized official:** DR. JIGNESH B PATEL MD, FAAP (PRESIDENT)
- **Authorized official phone:** (732) 309-1292

## Contact information

- **Practice address:** 1181 S SUMTER BLVD, \#311, NORTH PORT, FL 34287-2335
- **Practice address phone:** (732) 218-6005
- **Mailing address:** 1181 S SUMTER BLVD, \#311, NORTH PORT, FL 34287-2335
- **Mailing address phone:** (732) 218-6005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | ME 101565 | FL | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | ME 101565 | FL | — |
| 2080S0012X | Pediatric Sleep Medicine Physician | — | NULL | Yes |
| 2080S0012X | Pediatric Sleep Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010