Provider Demographics
NPI:1689104341
Name:PATEL, MITUL V (DO)
Entity type:Individual
Prefix:
First Name:MITUL
Middle Name:V
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5400 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-3833
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:13908 LAKESHORE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1492
Practice Address - Country:US
Practice Address - Phone:727-471-5882
Practice Address - Fax:727-471-6112
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2025-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL415358207RC0000X
FL390200000X
FLOS20874207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program