Independant Ipa,llc

NPI #1720415474 in Hudson, Florida

Provider Information

NPI Number: 1720415474
Entity Type: Organization
Organization Name: Independant Ipa,llc
Primary Specialty: Specialist
Enumeration Date: Sep 26, 2013
Last Updated: Sep 26, 2013

Practice Location

Address: 13906 LAKESHORE BLVD STE 330
City: Hudson
State: Florida
ZIP Code: 34667-1487
Phone: (727) 863-5242

Authorized Official

Name: CHIRAG N PATEL, M.D.
Title: OWNER
Phone: (352) 596-3032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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