Individual
MRS. PINKI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 KINGSLEY AVE, ORANGE PARK, FL 32073
(904) 276-0001
(904) 276-5333
Mailing address
2100 KINGSLEY AVE, ORANGE PARK, FL 32073
(904) 276-0001
(904) 276-5333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00852108
RAILROAD MEDICARE
FL
Enumeration date
07/28/2006
Last updated
08/15/2025
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