Provider Demographics
NPI:1235127671
Name:PATEL, SEEMA K (MD)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:K
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5670 54TH AVE N STE A-1
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2067
Mailing Address - Country:US
Mailing Address - Phone:727-548-0260
Mailing Address - Fax:727-548-0270
Practice Address - Street 1:5670 54TH AVE N STE A-1
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-2067
Practice Address - Country:US
Practice Address - Phone:727-548-0260
Practice Address - Fax:727-548-0270
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124536207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSN334OtherMEDICARE HF
FL120362900Medicaid