Provider Demographics
NPI:1568673986
Name:PATEL, SONAL (BSC (HONS))
Entity Type:Individual
Prefix:MRS
First Name:SONAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:BSC (HONS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9310 WESTOVER CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6239
Mailing Address - Country:US
Mailing Address - Phone:407-445-0400
Mailing Address - Fax:
Practice Address - Street 1:9310 WESTOVER CLUB CIR
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6239
Practice Address - Country:US
Practice Address - Phone:407-445-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist