Individual
NIKITA V PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS18507
FL
207R00000X
Internal Medicine Physician
UO6499
FL
208M00000X
Hospitalist Physician
Primary
OS18507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UO6499
FLORIDA TRAINING LICENSE
FL
Enumeration date
03/16/2019
Last updated
09/14/2022
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