Organization
NIRMALA INC
Active
Other names
Sunshine Pediatrics of Lutz
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAL PATEL M.D. (PEDIATRICIAN)
(813) 758-1749
Entity
Organization
Contact information
Practice address
18928 N. DALE MABRY HWY, STE 102, LUTZ, FL 33548
(813) 948-2679
(813) 948-2694
Mailing address
18928 N. DALE MABRY HWY, STE 102, LUTZ, FL 33548
(813) 948-2679
(813) 948-2694
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
FL
05
—
271493100
—
FL
Enumeration date
04/18/2007
Last updated
05/21/2020
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