Individual
DR. PRAMESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10659 GRAND AVE STE 5, SUN CITY, AZ 85351-3427
(623) 249-2781
(623) 243-9694
Mailing address
10659 GRAND AVE STE 5, SUN CITY, AZ 85351-3427
(623) 249-2781
(623) 243-9694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1554
AZ
152W00000X
Optometrist
OPC3036
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620236500
—
FL
Enumeration date
02/23/2007
Last updated
06/14/2021
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