Individual
AMITA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 SW GATLIN BLVD, PORT ST LUCIE, FL 34953-2703
(772) 336-8268
(772) 336-9406
Mailing address
1850 SW GATLIN BLVD, PORT ST LUCIE, FL 34953-2703
(772) 336-8268
(772) 336-9406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS30865
FL
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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