Individual
SHEENA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 W DR MLK BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108583000
—
FL
01
—
AA587
STATE LICENSE
FL
Enumeration date
06/26/2020
Last updated
01/18/2024
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