Individual
BHAVNABEN B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
999 NORTH STONE STREET, SUITE A, DELAND, FL 32720
(386) 738-6804
(386) 943-4046
Mailing address
999 NORTH STONE STREET, SUITE A, DELAND, FL 32720
(386) 738-6804
(386) 943-4046
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME48873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04164
BCBS
—
05
—
0456904600
—
FL
Enumeration date
11/22/2006
Last updated
07/08/2007
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