Provider Demographics
NPI:1598108557
Name:PATEL, RAVI JAIMINI (DO)
Entity type:Individual
Prefix:DR
First Name:RAVI
Middle Name:JAIMINI
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5745 SW 75TH ST UNIT 361
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-5504
Mailing Address - Country:US
Mailing Address - Phone:800-792-5972
Mailing Address - Fax:425-517-0088
Practice Address - Street 1:5745 SW 75TH ST UNIT 361
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-5504
Practice Address - Country:US
Practice Address - Phone:800-792-5972
Practice Address - Fax:425-517-0088
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2014036373207P00000X
FLOS14434207P00000X, 207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine