Provider Demographics
NPI:1710648191
Name:PATEL, VRUNDA HARESH
Entity Type:Individual
Prefix:
First Name:VRUNDA
Middle Name:HARESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14503 WINDIGO LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6868
Mailing Address - Country:US
Mailing Address - Phone:863-602-5181
Mailing Address - Fax:
Practice Address - Street 1:14503 WINDIGO LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6868
Practice Address - Country:US
Practice Address - Phone:863-602-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program