Provider Demographics
NPI:1285206573
Name:AMAR G PATEL MD LLC
Entity Type:Organization
Organization Name:AMAR G PATEL MD LLC
Other - Org Name:APEX PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMAR
Authorized Official - Middle Name:GIRIAM
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-251-2692
Mailing Address - Street 1:235 S MAITLAND AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5629
Mailing Address - Country:US
Mailing Address - Phone:321-251-2692
Mailing Address - Fax:321-251-2694
Practice Address - Street 1:235 S MAITLAND AVE STE 101
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5629
Practice Address - Country:US
Practice Address - Phone:321-251-2692
Practice Address - Fax:321-251-2694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty