Provider Demographics
NPI:1326418849
Name:PATEL, DEVIN ANIL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:ANIL
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7880 TURNSTONE CIR W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-2359
Mailing Address - Country:US
Mailing Address - Phone:904-642-9550
Mailing Address - Fax:
Practice Address - Street 1:7880 TURNSTONE CIR W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-2359
Practice Address - Country:US
Practice Address - Phone:904-642-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-26
Last Update Date:2015-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS53991OtherBOARD OF PHARMACY