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Provider Information for 1003866823

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. SANJAY A PATEL M.D.

Gender: MALE

Individual NPI: 1003866823

Calendar   Last Updated:  2020-01-02
  Certification Date:  2020-01-02

Details

Name Value
NPI 1003866823
Enumeration Date 2006-05-11
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 310 SE 29TH PL SUITE-100
OCALA, FL 34471-0486
United States

Phone: 352-732-6400 | Fax: 352-671-5283
View Map External Link
Primary Practice Address 310 SE 29TH PL SUITE-100
OCALA, FL 34471-0486
United States

Phone: 352-732-6400 | Fax: 352-671-5283
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 379034700
Other ME # FL 69007
Other CLIA # FL 10D0974350
Other RAILROAD MEDICARE ID FL 110204280
Other TAX ID FL 593636232
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME0069007