Individual
DEVASHRI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4542
(863) 688-2334
Mailing address
1963 FRUITRIDGE ST, BRANDON, FL 33510-6006
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
ME148412
FL
Other
Enumeration date
04/02/2015
Last updated
06/21/2021
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