Individual
VIKAS PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 BAPTIST CLAY DR STE 300, FLEMING ISLAND, FL 32003-8503
(904) 214-8080
(904) 214-8109
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME126264
FL
207RG0100X
Gastroenterology Physician
Primary
ME126264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114908800
—
FL
Enumeration date
04/24/2013
Last updated
11/01/2022
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