| Patel Family Medicine Pa | |
|
6963 Keplar Dr Melbourne FL 32940-6647 | |
| (321) 794-8547 | |
| Not Available |
| Full Name | Patel Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6963 Keplar Dr, Melbourne, Florida |
| Authorized Official Name and Position | Bachu C Patel (OWNER) |
| Authorized Official Contact | 3212542321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patel Family Medicine Pa 221 W Hibiscus Blvd Ste 401 Melbourne FL 32901-3044 Ph: () - | Patel Family Medicine Pa 6963 Keplar Dr Melbourne FL 32940-6647 Ph: (321) 794-8547 |
| NPI Number | 1548566326 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 0840475919 |
|---|---|
| Medicare Enrollment ID | O20110505000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548566326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0044043 (Florida) | Primary |
| Provider Name | Hilbert C Zeballos Evangelista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700807526 PECOS PAC ID: 8729985825 Enrollment ID: I20041101000662 |
| Provider Name | Paige M Ahammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407073943 PECOS PAC ID: 3476627936 Enrollment ID: I20080731000418 |
| Provider Name | Bachu C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386741890 PECOS PAC ID: 1658363742 Enrollment ID: I20100830000680 |
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