Alexander Patel, DO., PA.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ALEXANDER PATEL, DO., PA.

Practice address

520 SE 5TH Ave Apt 2408
Fort Lauderdale, FL 33301-2957

Phone

(706) 540-1174

Fax

(305) 466-9543

NPI assigned

Jul 1, 2021

Last updated

Jul 1, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jorge Garcia, CREDENTIALING

Title

Credentialing Director

Phone

(305) 606-0337

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1538739578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SE 5TH AVE APT 2408",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012957",
            "telephone_number": "706-540-1174",
            "fax_number": "305-466-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SE 5TH AVE APT 2408",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012957",
            "telephone_number": "706-540-1174",
            "fax_number": "305-466-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER PATEL, DO., PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "305-606-0337",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.