Individual
HETAL M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-5618
(772) 288-5834
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008180300
—
FL
01
—
Y0F5U
FLORIDA BLUE
FL
Enumeration date
07/24/2007
Last updated
03/17/2018
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