# TITAN HEALTH PA

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

## Provider details

- **NPI number:** 1518617760
- **Authorized official:** DR. SIMAL PATEL MD (OWNER/DOCTOR)
- **Authorized official phone:** (727) 906-7224

## Contact information

- **Practice address:** 17510 N US HIGHWAY 41, LUTZ, FL 33549-4571
- **Practice address phone:** (833) 787-8824
- **Mailing address:** 6957 LA VISTA DR, DALLAS, TX 75214-4035
- **Mailing address phone:** (727) 906-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2022
- **Last updated:** 03/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME122355 | UNKNOWN | TX |