Individual
TANVI RAJIV PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827
(407) 567-4000
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN17336
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
269327
MA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME130207
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101177900
—
FL
Enumeration date
05/29/2012
Last updated
03/22/2019
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