Individual
SHRUTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 W PLYMOUTH AVE, SUITE A, DELAND, FL 32720-3215
(386) 736-7933
Mailing address
216 FREDERICK ST, PIERSON, FL 32180-3024
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109687
FL
Other
Enumeration date
09/09/2016
Last updated
06/23/2017
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