Individual
RITESH PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,MPH
Contact information
Practice address
1264 MALABAR RD SE, PALM BAY, FL 32907-2556
(321) 434-8216
(321) 952-6179
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8216
(321) 952-6179
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME126569
FL
207RH0003X
Hematology & Oncology Physician
ME126569
FL
207RX0202X
Medical Oncology Physician
Primary
ME126569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024037700
—
FL
01
—
LB303
MEDICARE
FL
Enumeration date
03/23/2007
Last updated
06/04/2025
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