Individual
TARA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2600 WESTHALL LN, MAITLAND, FL 32751-7102
(407) 200-3000
Mailing address
1611 LOOKOUT LANDING CIRCLE, WINTER PARK, FL 32789
(407) 353-3443
(407) 353-3443
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9168549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305998700
—
FL
Enumeration date
09/27/2005
Last updated
04/10/2019
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