Most Relevant Information
Provider Data
| NPI Number: | 1003801598 |
| Provider Name: | NEHA D PATEL PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 25MP00104600 |
Most Important Dates
| Enumeration Date: | 09/12/2005 |
| Last Updated: | 12/12/2019 |
Provider Practice Location
1245 W GRANADA BLVD
ORMOND BEACH
FL
321745914
Practice Location Phone/Fax
| Phone: | 3863179055 |
| Fax: |
Provider Mailing Location
1245 W GRANADA BLVD
ORMOND BEACH
FL
321745914
Provider Mailing Phone/Fax
| Phone: | 3863179055 |
| Fax: |