Individual
DR. DIVYA H PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
175 STATE ROAD 312 W, ST AUGUSTINE, FL 32086-4201
(815) 529-2733
Mailing address
249 ASH BREEZE CV, ST AUGUSTINE, FL 32095-0044
(815) 529-2733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS63413
FL
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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