Individual
KUNAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, PAVILION 1ST FLOOR, LAKELAND, FL 33805-4543
(863) 284-6860
(863) 688-7959
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 630-6528
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP10064219
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
ME157910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
679993
TEXAS MEDICAL BOARD
TX
Enumeration date
05/09/2018
Last updated
11/03/2022
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