Individual
DR. BHAVIN PATIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3225 S MACDILL AVE STE 129-300, TAMPA, FL 33629-8171
(813) 441-6803
(813) 524-6352
Mailing address
3225 S MACDILL AVE STE 129-300, TAMPA, FL 33629-8171
(813) 441-6803
(813) 524-6352
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
125.057275
IL
2084N0400X
Neurology Physician
Primary
ME118915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011056500
—
FL
Enumeration date
11/02/2009
Last updated
08/11/2023
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