Provider Demographics
NPI:1942487863
Name:PATANGE, AMIT RAMESH (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:RAMESH
Last Name:PATANGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5955 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2423
Mailing Address - Country:US
Mailing Address - Phone:305-661-1515
Mailing Address - Fax:305-662-3723
Practice Address - Street 1:9800 CENTRAL PARK BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428
Practice Address - Country:US
Practice Address - Phone:561-558-1212
Practice Address - Fax:561-552-1292
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2013-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301089534208000000X
FLME1158782080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME115878OtherMEDICAL LICENSE