Organization
INDEPENDANT IPA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG N PATEL M.D. (OWNER)
(352) 596-3032
Entity
Organization
Contact information
Practice address
13906 LAKESHORE BLVD STE 330, HUDSON, FL 34667-1487
(727) 863-5242
(727) 862-8510
Mailing address
11373 CORTEZ BLVD STE 206, BROOKSVILLE, FL 34613-5405
(352) 596-3032
(352) 596-3066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME87617
FL
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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