Organization
TAMPA BAY NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARATKUMAR PATEL M.D. (PRESIDENT)
(813) 765-5693
Entity
Organization
Contact information
Practice address
6101 WEBB RD, SUITE 203, TAMPA, FL 33615-2872
(813) 765-5693
Mailing address
PO BOX 263491, TAMPA, FL 33685-3491
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME103373
FL MEDICAL LICENSE
FL
Enumeration date
04/07/2015
Last updated
04/07/2015
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