Organization
LAKE NONA OPHTHALMOLOGY PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIRAG JITENDRA PATEL M.D. (MANAGING MEMBER)
(352) 978-4896
Entity
Organization
Contact information
Practice address
6718 LAKE NONA BLVD STE 140, ORLANDO, FL 32827-7984
(407) 857-3937
(407) 392-0420
Mailing address
6718 LAKE NONA BLVD STE 140, ORLANDO, FL 32827-7984
(407) 857-3937
(407) 319-0420
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME111106
FL
Other
Enumeration date
03/29/2012
Last updated
01/24/2024
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