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Individual

BHUPENDRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4340 S FLORIDA AVE, LAKELAND, FL 33813-1631
(863) 644-7549
(863) 619-6185
Mailing address
2941 VINTAGE VIEW CIR, LAKELAND, FL 33812-5061
(863) 607-9805
(863) 607-9805

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
013126
KY
183500000X
Pharmacist
5302036721
MI
183500000X
Pharmacist
Primary
PS37125
FL

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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