Provider Demographics
NPI:1780009175
Name:PATEL, RITA
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
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 1:5561 PALMER CROSSING CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3335
Mailing Address - Country:US
Mailing Address - Phone:941-893-3050
Mailing Address - Fax:941-893-3051
Practice Address - Street 1:5561 PALMER CROSSING CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3335
Practice Address - Country:US
Practice Address - Phone:941-893-3050
Practice Address - Fax:941-893-3051
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist