Organization
SUNARC INC
Active
Other names
MY KIDS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAKSHA PATEL MD (OWNER PROVIDER)
(813) 234-1315
Entity
Organization
Contact information
Practice address
1213 W HILLSBOROUGH AVE, TAMPA, FL 33603-1313
(813) 234-1315
(813) 234-7305
Mailing address
PO BOX 21727, TAMPA, FL 33622-1727
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256535800
—
FL
01
—
94771
BCBS FL
FL
Enumeration date
12/14/2006
Last updated
05/21/2009
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