Individual
MISS AVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19105 N US HIGHWAY 41, SUITE 300, LUTZ, FL 33549-4206
(813) 866-1959
(813) 866-1957
Mailing address
PO BOX 21647, TAMPA, FL 33622-1647
(813) 866-1959
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106400
FL
Other
Enumeration date
05/18/2012
Last updated
10/01/2020
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