Individual
DRAUSTY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4685 N COUNTY ROAD 19A, MOUNT DORA, FL 32757-2039
(352) 483-0900
(352) 483-0822
Mailing address
410 FERN DR, LEESBURG, FL 34748-7008
(352) 705-3484
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9119119
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2024
Last updated
09/30/2024
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