Organization
DELAND PEDIATRIC ASSOCIATES M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVNABEN B PATEL (PRESIDENT)
(386) 738-6804
Entity
Organization
Contact information
Practice address
999 N STONE ST, SUITE A, DELAND, FL 32720-0800
(386) 738-6804
(386) 943-4046
Mailing address
999 N STONE ST, SUITE A, DELAND, FL 32720-0800
(386) 738-6804
(386) 943-4046
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255187000
—
FL
Enumeration date
10/28/2006
Last updated
01/10/2012
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