Provider Demographics
NPI:1336466200
Name:PATEL, DARSHAN JERAMBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:DARSHAN
Middle Name:JERAMBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 SW COLLEGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5713
Mailing Address - Country:US
Mailing Address - Phone:352-401-8800
Mailing Address - Fax:352-401-8870
Practice Address - Street 1:3949 SW COLLEGE RD STE 100
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5713
Practice Address - Country:US
Practice Address - Phone:352-401-8800
Practice Address - Fax:352-401-8870
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD206346207QG0300X
FLME155981207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL116331300Medicaid
LA2103580Medicaid