Provider Demographics
NPI:1598021701
Name:PATEL, SAILENDRA JITENDRAKUMAR (DPT)
Entity Type:Individual
Prefix:DR
First Name:SAILENDRA
Middle Name:JITENDRAKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-7336
Mailing Address - Country:US
Mailing Address - Phone:352-404-7336
Mailing Address - Fax:352-559-0421
Practice Address - Street 1:232 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-7336
Practice Address - Country:US
Practice Address - Phone:352-404-7336
Practice Address - Fax:352-559-0421
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26540225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist