Individual
AVANI SANJAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 898-7451
Mailing address
6086 BLUE FOX LN, INDIANAPOLIS, IN 46237-3371
(765) 532-7204
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
28234593A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
11014484
FL
Other
Enumeration date
07/08/2021
Last updated
10/12/2021
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