Provider Demographics
NPI:1619571643
Name:PATEL, SONAL RANA (APRN)
Entity type:Individual
Prefix:
First Name:SONAL
Middle Name:RANA
Last Name:PATEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SONAL
Other - Middle Name:
Other - Last Name:RANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8075 SPYGLASS HILL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8281
Mailing Address - Country:US
Mailing Address - Phone:321-255-8008
Mailing Address - Fax:321-255-8009
Practice Address - Street 1:8075 SPYGLASS HILL RD STE 101
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8281
Practice Address - Country:US
Practice Address - Phone:321-255-8008
Practice Address - Fax:321-255-8009
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11010370363LG0600X, 363LA2200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113397200Medicaid