Provider Demographics
NPI:1881365328
Name:PATEL, VINCE (MD)
Entity type:Individual
Prefix:DR
First Name:VINCE
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E PINE ST APT 1119
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3075
Mailing Address - Country:US
Mailing Address - Phone:813-516-4107
Mailing Address - Fax:
Practice Address - Street 1:7500 FLYING CLOUD DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344
Practice Address - Country:US
Practice Address - Phone:813-516-4107
Practice Address - Fax:321-339-3795
Is Sole Proprietor?:No
Enumeration Date:2021-09-24
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program