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Individual

GIRISH PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PA

Contact information

Practice address
2112 16TH ST N, SAINT PETERSBURG, FL 33704-3924
(727) 821-7111
(727) 821-7115
Mailing address
2112 16TH ST N, SAINT PETERSBURG, FL 33704-3924
(727) 821-7111
(727) 821-7115

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0068180
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378469000
FL
Enumeration date
08/29/2006
Last updated
10/08/2008
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