Individual
MRS. MUKTI B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5051 SE 110TH ST, BELLEVIEW, FL 34420-3115
(352) 245-9157
(352) 245-3031
Mailing address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8575
(952) 432-6161
(952) 432-7019
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292223100
—
FL
Enumeration date
01/25/2006
Last updated
10/24/2016
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