Individual
DR. DIPESH B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1095 N.W. ST. LUCIE WEST BLVD., PORT ST. LUCIE, FL 34986
(772) 785-5555
Mailing address
3821 SW COQUINA COVE WAY, APT. 204, PALM CITY, FL 34990
(732) 781-8431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME114015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006395600
—
FL
01
—
14MP0
FLORIDA BLUE
FL
Enumeration date
06/22/2009
Last updated
10/13/2020
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