Individual
DIMPLE RAHUL DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
38051 MARKET SQ, ZEPHYRHILLS, FL 33542-7504
(813) 782-1234
(813) 355-5066
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 782-1234
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
TN38341
FL
363AM0700X
Medical Physician Assistant
Primary
PA9105309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01080597
R& R MEDICARE
FL
Enumeration date
01/06/2010
Last updated
09/08/2021
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