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Individual

DR. PAYAL PRITESH PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
18928 N DALE MABRY HWY, STE 102, LUTZ, FL 33548-4922
(813) 948-2679
(813) 948-2694
Mailing address
18928 N DALE MABRY HWY, STE 102, LUTZ, FL 33548-4922
(813) 948-2679
(813) 948-2694

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90168
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271493100
FL
Enumeration date
11/01/2006
Last updated
09/27/2011
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