Provider Demographics
NPI:1528306602
Name:PATEL, ASHKA J (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ASHKA
Middle Name:J
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E SOUTH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3508
Mailing Address - Country:US
Mailing Address - Phone:407-843-1180
Mailing Address - Fax:
Practice Address - Street 1:985 SR 436
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707
Practice Address - Country:US
Practice Address - Phone:407-831-5252
Practice Address - Fax:407-831-3390
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9107035363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01459260OtherRAILROAD MEDICARE
FL008420300Medicaid
FLHC695YMedicare UPIN