Individual
PAVAN VISHNUBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 111787
FL
207R00000X
Internal Medicine Physician
TRN 13357
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME111787
FL
Other
Enumeration date
12/08/2011
Last updated
08/04/2016
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