Provider Demographics
NPI:1093945719
Name:PATEL, HIRENKUMAR M (MS)
Entity Type:Individual
Prefix:
First Name:HIRENKUMAR
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 TERRA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6646
Mailing Address - Country:US
Mailing Address - Phone:813-652-7902
Mailing Address - Fax:
Practice Address - Street 1:950 TERRA VISTA ST
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6646
Practice Address - Country:US
Practice Address - Phone:813-652-7902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT29049225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist