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Hetal M Patel

Specialist

Other Service Providers

21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704

PECOS Enrollment

This provider is enrolled in PECOS as HETAL PATEL.

Based on the most recent information from CMS, provider Hetal M Patel is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 1:10 PM.

Profile Details

Provider ID
1851645626
Provider Type
Individual
Full Name
Patel, Hetal M
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/1/2012
Last Updated
12/2/2019

Contact Information

Practice Location

21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704

(855) 979-5700

Unlisted Fax

Mailing Location

2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

(877) 856-3774

(239) 599-2612

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License ME 114270 Florida

Hetal M Patel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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