Individual
DIPTI RATILAL PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
4015 US HIGHWAY 301 N, ELLENTON, FL 34222-2407
(941) 722-7222
Mailing address
4015 US HIGHWAY 301 N, ELLENTON, FL 34222-2407
(941) 722-7222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME122077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014028300
—
FL
01
—
IA762Z
MEDICARE
FL
Enumeration date
09/24/2010
Last updated
08/25/2016
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