Individual
DIVYA CHANDRAKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 SW ARCHER RD # M452, GAINESVILLE, FL 32610-0225
(352) 273-9199
(352) 273-9154
Mailing address
1600 SW ARCHER RD # M452, P.O BOX 100225, GAINESVILLE, FL 32610-0225
(352) 273-9199
(352) 273-9154
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
58.002428
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS12851
FL
207RP1001X
Pulmonary Disease Physician
58.002428
OH
207RP1001X
Pulmonary Disease Physician
Primary
OS12851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012993500
—
FL
Enumeration date
03/05/2008
Last updated
09/27/2014
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