VIMAL PATEL MD PA
Osteopathic Medicine at Oakfield Dr, Brandon, FL

License number
Florida ME91694
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. VIMAL PATEL MD
Title: OWNER
Phone: (845) 625-8222
Address
Address 2
119 Oakfield Dr, Brandon, FL 33511
PO Box 511852, Punta Gorda, FL 33951
National Provider ID: 1265745574
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Vimal Patel MD PA

Punta Gorda, FL  -  Tampa, FL

Status:
Inactive
Doing business as:
Vimal Patel, M.D., PA
Registration:
Jul 14, 2010
Addresses:
89 Vivante Blvd, Punta Gorda, FL 33950
2403 W Palm Dr, Tampa, FL 33629
3393 Tripoli Blvd, Punta Gorda, FL 33950
State ID:
P10000058149
Business type:
Florida Profit Corporation
Principal, Director:
Vimal Patel Principal, Director, inactive
Agent:
Patel, Vimal,2403 W Palm Dr, Tampa, FL 33629 (Physical)
EIN:
273007728

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