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Shivani Patel

Student in an Organized Health Care Education/Training Program in Daytona Beach, FL. Individual provider (NPI-1).

NPI number1639025901
StatusActive
Last updated in NPPESMar 9, 2026

Details

NPI
1639025901
Entity type
Individual (NPI-1)
Name
Shivani Patel
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 9, 2026
Certification date
Mar 9, 2026
Last updated
Mar 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1200 W International Speedway Blvd Ste 101
Daytona Beach, FL 32114-2817

Phone 386-252-0601

Mailing address

1200 W International Speedway Blvd Ste 101
Daytona Beach, FL 32114-2817

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