Individual
PUJA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6705 MERRYVALE LN, PORT ORANGE, FL 32128-4044
(386) 334-9435
Mailing address
6705 MERRYVALE LN, PORT ORANGE, FL 32128-4044
(386) 334-9435
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
PA9118882
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/08/2022
Last updated
07/03/2025
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