Sunshine Neurology Pa | |
1901 Haverford Plaza Suite 109 Sun City Center FL 33573 | |
(813) 634-3500 | |
(813) 634-4900 |
Full Name | Sunshine Neurology Pa |
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Speciality | Psychiatry & Neurology |
Location | 1901 Haverford Plaza, Sun City Center, Florida |
Authorized Official Name and Position | Kamlesh P Patel (MD) |
Authorized Official Contact | 8136343500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunshine Neurology Pa 1901 Haverford Plaza Suite 109 Sun City Center FL 33573 Ph: (813) 634-3500 | Sunshine Neurology Pa 1901 Haverford Plaza Suite 109 Sun City Center FL 33573 Ph: (813) 634-3500 |
NPI Number | 1720172604 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 06/09/2015 |
Medicare PECOS PAC ID | 1759486384 |
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Medicare Enrollment ID | O20070410000426 |
Identifier | Type | State | Issuer |
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1720172604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME95909 (Florida) | Primary |
Provider Name | Kamlesh Patel |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1417990524 PECOS PAC ID: 4789788415 Enrollment ID: I20070405000034 |
Provider Name | Jennifer Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720464910 PECOS PAC ID: 1850682907 Enrollment ID: I20160620002051 |
Provider Name | Vivian C Faircloth |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1427009521 PECOS PAC ID: 1456443845 Enrollment ID: I20161005002493 |
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