Provider Demographics
NPI:1992996557
Name:KINGSWAY MEDICAL CENTER INC
Entity type:Organization
Organization Name:KINGSWAY MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANILKUMAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-655-5807
Mailing Address - Street 1:407 N PARSONS AVE
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-4537
Mailing Address - Country:US
Mailing Address - Phone:813-655-5807
Mailing Address - Fax:813-655-9817
Practice Address - Street 1:407 N PARSONS AVE
Practice Address - Street 2:SUITE 102A
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-4537
Practice Address - Country:US
Practice Address - Phone:813-655-5807
Practice Address - Fax:813-655-9817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME59296208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty