Individual
PALAK PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11169 TRINITY BLVD, TRINITY, FL 34655-4538
(727) 877-0297
(727) 877-0312
Mailing address
2705 W SAINT ISABEL ST, TAMPA, FL 33607-6319
(813) 879-5795
(813) 877-4578
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME171631
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
036164218
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
2023011012
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME171631
MEDICAL LICENSE
FL
Enumeration date
03/04/2019
Last updated
11/05/2025
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