Organization
CEREBRUM HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVIN PATIDAR MD (PRESIDENT)
(813) 441-6803
Entity
Organization
Contact information
Practice address
3225 S MACDILL AVE STE 129-300, TAMPA, FL 33629-8171
(813) 441-6803
(813) 524-6352
Mailing address
3225 S MACDILL AVE STE 129-300, TAMPA, FL 33629-8171
(813) 441-6803
(813) 524-6352
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011056550
—
FL
Enumeration date
01/15/2018
Last updated
02/10/2026
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