Provider Demographics
NPI:1396394607
Name:PATEL, AKSHAY (APRN)
Entity Type:Individual
Prefix:
First Name:AKSHAY
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 PATTERSON RD STE B
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-6247
Mailing Address - Country:US
Mailing Address - Phone:863-421-4400
Mailing Address - Fax:863-421-4402
Practice Address - Street 1:295 PATTERSON RD STE B
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-6247
Practice Address - Country:US
Practice Address - Phone:863-421-4400
Practice Address - Fax:863-421-4402
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004029363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily