Most Relevant Information
Provider Data
| NPI Number: | 1003429432 |
| Provider Name: | VIDISHA PATEL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS58803 |
Most Important Dates
| Enumeration Date: | 08/25/2020 |
| Last Updated: | 08/25/2020 |
Provider Practice Location
13989 LANDSTAR BLVD
ORLANDO
FL
328245501
Practice Location Phone/Fax
| Phone: | 0788898684 |
| Fax: |
Provider Mailing Location
13989 LANDSTAR BLVD
ORLANDO
FL
328245501
Provider Mailing Phone/Fax
| Phone: | 4078889868 |
| Fax: | 4078889895 |