Individual
DHARA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5375 N SOCRUM LOOP RD, LAKELAND, FL 33809-4272
(863) 859-6353
Mailing address
5375 N SOCRUM LOOP RD, LAKELAND, FL 33809-4272
(863) 859-6353
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI4539
FL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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