Basic Information
Provider Information
NPI: 1194005231
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATIL
FirstName: VINIT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2501 N ORANGE AVE STE 235
Address2:  
City: ORLANDO
State: FL
PostalCode: 328044659
CountryCode: US
TelephoneNumber: 4073032906
FaxNumber:  
Practice Location
Address1: 2501 N ORANGE AVE STE 235
Address2:  
City: ORLANDO
State: FL
PostalCode: 328044659
CountryCode: US
TelephoneNumber: 4073032906
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/21/2011
LastUpdateDate: 10/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD-45472IAN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X30807NEN Allopathic & Osteopathic PhysiciansHospitalist 
207RH0002XME124812FLY Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine

No ID Information.


Home