Individual
DHIMANT PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11001 ROOSEVELT BLVD N, SUITE 1400, ST PETERSBURG, FL 33716-2354
(866) 448-8040
Mailing address
11001 ROOSEVELT BLVD N, SUITE 1400, ST PETERSBURG, FL 33716-2354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS24106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025177100
—
FL
Enumeration date
01/19/2017
Last updated
01/19/2017
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