Individual
DR. AMIT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1032 MAR WALT DR UNIT 230, FORT WALTON BEACH, FL 32547-6661
(850) 862-3194
(850) 862-4423
Mailing address
1032 MAR WALT DR UNIT 230, FORT WALTON BEACH, FL 32547-6661
(850) 862-3194
(850) 862-4423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD420780
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
40988
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME130524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101237985
—
PA
Enumeration date
02/20/2006
Last updated
08/19/2020
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