Provider Demographics
NPI:1669683769
Name:PATEL, DANIEL VINOD (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:VINOD
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3001 PALM HARBOR BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1930
Mailing Address - Country:US
Mailing Address - Phone:727-474-0090
Mailing Address - Fax:727-474-0055
Practice Address - Street 1:1180 N WILLIAMSON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-8176
Practice Address - Country:US
Practice Address - Phone:386-274-4244
Practice Address - Fax:386-274-4245
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME104493207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology