Patel, Tara

Patel, Tara is an individual health care provider with primary practice located at 2600 Westhall Ln , Maitland FL 32751-7102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Patel, Tara can be contacted via phone (407) 200-3000.

Contact Information

Primary practice address
2600 Westhall Ln Maitland FL 32751-7102
Phone: (407) 200-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9168549 Florida

Profile Details

NPI number 1811983570
LBN Legal business name Patel, Tara
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Apr 10th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811983570 NPPES
Florida MEDICAID 305998700

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