Provider Demographics
NPI:1255486098
Name:PATEL, AMAR G (DC)
Entity Type:Individual
Prefix:DR
First Name:AMAR
Middle Name:G
Last Name:PATEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:24945 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-3927
Mailing Address - Country:US
Mailing Address - Phone:727-479-8802
Mailing Address - Fax:727-781-0439
Practice Address - Street 1:5307 MAIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2536
Practice Address - Country:US
Practice Address - Phone:727-771-7200
Practice Address - Fax:727-781-0439
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH9200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAI311ZMedicare PIN