Organization
PATEL CONCUSSION INSTITUTE
Active
Organization
PATEL CONCUSSION INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAN PATEL PSYD (OWNER/CEO)
(315) 882-8299
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, SAINT PETERSBURG, FL 33702-4399
(813) 706-4293
Mailing address
18318 SERENE LAKE LOOP, LUTZ, FL 33548-7505
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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