Provider Demographics
NPI:1851853659
Name:PATEL, NILA V (RPH)
Entity Type:Individual
Prefix:MS
First Name:NILA
Middle Name:V
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 S LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-2815
Mailing Address - Country:US
Mailing Address - Phone:813-349-7949
Mailing Address - Fax:813-685-9188
Practice Address - Street 1:313 S LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-2815
Practice Address - Country:US
Practice Address - Phone:813-349-7949
Practice Address - Fax:813-685-9188
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1043636566OtherNPI
FL1326410952OtherNPI
FL1770596058OtherNPI
FL1376553883OtherNPI
FL1912273285OtherNPI