Individual
ANISHA KYRINA MAHENDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2800 A RIDGE WAY, STE 100, LAKE WALES, FL 33859
(863) 676-2008
(863) 294-8305
Mailing address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
(863) 294-8305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5413
FL
Other
Enumeration date
08/30/2017
Last updated
04/29/2024
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