Individual
DISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(706) 721-7005
Mailing address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TRN42182
FL
207R00000X
Internal Medicine Physician
Primary
16499
GA
Other
Enumeration date
06/07/2024
Last updated
03/24/2026
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