Organization
SUNRISE NEUROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASHKUMAR PATEL MD (OWNER)
(813) 783-9799
Entity
Organization
Contact information
Practice address
38156 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540-1380
(813) 783-9799
(813) 783-9793
Mailing address
38156 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540-1380
(813) 783-9799
(813) 783-9793
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME86194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267730000
—
FL
Enumeration date
04/25/2006
Last updated
06/22/2021
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