Provider Demographics
NPI:1407443963
Name:PATEL, NARESHBHAI J (RPH)
Entity Type:Individual
Prefix:MR
First Name:NARESHBHAI
Middle Name:J
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 OAKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5707
Mailing Address - Country:US
Mailing Address - Phone:813-662-9926
Mailing Address - Fax:813-662-9936
Practice Address - Street 1:216 OAKFIELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5707
Practice Address - Country:US
Practice Address - Phone:813-662-9926
Practice Address - Fax:813-662-9936
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist