Individual
NIRA K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
844 N THORNTON AVE, ORLANDO, FL 32803-4003
(407) 398-6470
(407) 894-6872
Mailing address
86 W UNDERWOOD ST, SUITE 202, ORLANDO, FL 32806-1110
(407) 649-6876
(407) 872-0544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME120073
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN16339
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012752000
—
FL
Enumeration date
02/01/2011
Last updated
10/20/2014
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