Provider Demographics
NPI:1669696845
Name:PATEL, MANOJKUMAR TRIBHOVANDAS (MD)
Entity type:Individual
Prefix:DR
First Name:MANOJKUMAR
Middle Name:TRIBHOVANDAS
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7111 FAIRWAY DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4204
Mailing Address - Country:US
Mailing Address - Phone:800-330-6565
Mailing Address - Fax:561-712-7349
Practice Address - Street 1:10500 UNIVERSITY CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-6494
Practice Address - Country:US
Practice Address - Phone:800-929-6694
Practice Address - Fax:813-971-6675
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2017-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 83458207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology