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Individual

PRAFUL B. PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
585 W COLLEGE AVE STE A, SANTA ROSA, CA 95401-5060
(707) 547-5450
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 450-6401

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME82902
FL
207RP1001X
Pulmonary Disease Physician
Primary
C183919
CA
207RP1001X
Pulmonary Disease Physician
ME82902
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00921533A
GA
05
261796000
FL
Enumeration date
07/12/2006
Last updated
10/28/2024
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