Provider Demographics
NPI:1528115110
Name:PATEL, HITU B (PT)
Entity type:Individual
Prefix:MRS
First Name:HITU
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13006 COLONNADE CIR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6615
Mailing Address - Country:US
Mailing Address - Phone:352-702-6044
Mailing Address - Fax:352-242-2113
Practice Address - Street 1:2205 CLUSTER OAK DR STE C
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6778
Practice Address - Country:US
Practice Address - Phone:352-702-6044
Practice Address - Fax:352-242-2113
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL007739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist