Individual
KRISTY W PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4243
(727) 767-8612
Mailing address
302 HARBOUR PLACE DR, UNIT 3218, TAMPA, FL 33602-6758
(407) 257-4909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2013-01349
NC
208000000X
Pediatrics Physician
ME119791
FL
208M00000X
Hospitalist Physician
Primary
ME119791
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012070900
—
FL
05
—
1003132036
—
NC
05
—
NC1861
—
SC
Enumeration date
04/15/2010
Last updated
05/30/2024
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