Provider Demographics
NPI:1215080403
Name:PATEL & GEDIA MEDICAL ASSOCIATES PA
Entity type:Organization
Organization Name:PATEL & GEDIA MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAKHABHAI
Authorized Official - Middle Name:D
Authorized Official - Last Name:GEDIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-684-3222
Mailing Address - Street 1:2204 S PARSONS AVE
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-5212
Mailing Address - Country:US
Mailing Address - Phone:813-684-3222
Mailing Address - Fax:813-681-8942
Practice Address - Street 1:2204 S PARSONS AVE
Practice Address - Street 2:
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-5212
Practice Address - Country:US
Practice Address - Phone:813-684-3222
Practice Address - Fax:813-681-8942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL056934801Medicaid
FL056934801Medicaid