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Individual

AMI MAHENDRA PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, FNP, ARNP

Contact information

Practice address
15953 N FLORIDA AVE STE 101, LUTZ, FL 33549-8102
(813) 960-4894
(813) 968-4997
Mailing address
8206 GINGER PINE WAY, TAMPA, FL 33647-3217
(813) 767-4543

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9286516
FL

Other

Enumeration date
10/22/2012
Last updated
10/22/2012
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