Individual
VANISABEN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10016 WELLNESS WAY STE 130, ORLANDO, FL 32832-7176
(407) 650-0248
(407) 604-6636
Mailing address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(407) 605-2321
(407) 671-4155
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4369
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO4369
FL
213ES0000X
Sports Medicine Podiatrist
PO4369
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4369
FL
213ES0131X
Foot Surgery Podiatrist
PO4369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00008498716002
UNITED HEALTHCARE
FL
05
—
118141300
—
FL
01
—
15856328
CAQH
FL
01
—
3410470
WELLCARE
—
01
—
NU6MD
FL BLUE BCBS
FL
Enumeration date
06/22/2020
Last updated
03/10/2025
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