Provider Demographics
NPI:1346691045
Name:PATEL, NEIL NITIN (OD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:NITIN
Last Name:PATEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5537 SHELDON RD STE A
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3167
Mailing Address - Country:US
Mailing Address - Phone:813-806-0812
Mailing Address - Fax:813-265-1144
Practice Address - Street 1:5537 SHELDON RD STE A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3167
Practice Address - Country:US
Practice Address - Phone:813-806-0812
Practice Address - Fax:813-265-1144
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5991152W00000X
MI4901004976152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist