Individual
ANJALI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3310 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 343-1216
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115694
FL
Other
Enumeration date
02/16/2022
Last updated
06/28/2024
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