Individual
DR. PRAMESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3585
(321) 868-5871
(321) 868-5852
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 868-5871
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME114177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025043700
—
FL
01
—
HD856X
FL MEDICARE
FL
01
—
P01739895
FL RR MEDICARE
FL
Enumeration date
10/27/2009
Last updated
03/02/2020
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