Provider Demographics
NPI:1316352016
Name:PATEL, NITINKUMAR PARSHOTAMBHAI (PHARMACIST)
Entity type:Individual
Prefix:
First Name:NITINKUMAR
Middle Name:PARSHOTAMBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4170 TAGGART CAY S
Mailing Address - Street 2:APT#205
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-4827
Mailing Address - Country:US
Mailing Address - Phone:941-209-2727
Mailing Address - Fax:
Practice Address - Street 1:4170 TAGGART CAY S
Practice Address - Street 2:APT#205
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-4827
Practice Address - Country:US
Practice Address - Phone:941-209-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS51744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist