Patel, Vandana

Patel, Vandana is an individual health care provider with primary practice located at 260 Beth Stacey Blvd Suite 130, Lehigh Acres FL 33936-6074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Patel, Vandana can be contacted via phone (239) 369-4088.

Contact Information

Primary practice address
260 Beth Stacey Blvd Suite 130 Lehigh Acres FL 33936-6074
Phone: (239) 369-4088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104643 Florida

Profile Details

NPI number 1164748042
LBN Legal business name Patel, Vandana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Jan 20th, 2020 - about 6 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 1164748042 NPPES
Florida Other CZ091Z MEDICARE PTAN
Florida Other PA9104643 MEDICARE PTAN

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