# LAKE NONA OPHTHALMOLOGY PL

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

## Provider details

- **NPI number:** 1508132986
- **Authorized official:** DR. CHIRAG JITENDRA PATEL M.D. (MANAGING MEMBER)
- **Authorized official phone:** (352) 978-4896

## Contact information

- **Practice address:** 6718 LAKE NONA BLVD STE 140, ORLANDO, FL 32827-7984
- **Practice address phone:** (407) 857-3937
- **Practice address fax:** (407) 392-0420
- **Mailing address:** 6718 LAKE NONA BLVD STE 140, ORLANDO, FL 32827-7984
- **Mailing address phone:** (407) 857-3937
- **Mailing address fax:** (407) 319-0420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME111106 | FL | Yes |

## Other

- **Enumeration date:** 03/29/2012
- **Last updated:** 01/24/2024