Organization Active NPI

Independant Ipa,LLC

  • Specialist
  • Hudson, FL
National Provider Identifier
1720415474
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME87617 Issued in FL
Legal business name
INDEPENDANT IPA,LLC
Practice address
13906 Lakeshore Blvd Ste 330
Hudson, FL 34667-1487
Phone
(727) 863-5242
Fax
(727) 862-8510
NPI assigned
Sep 26, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Chirag N Patel, M.D.NPI 1902870819
Title
Owner
Phone
(352) 596-3032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME87617 FL Primary

Addresses

Primary practice location

13906 Lakeshore Blvd Ste 330
Hudson, FL 34667-1487

Mailing address

11373 Cortez Blvd Ste 206
Brooksville, FL 34613-5405
Phone (352) 596-3032

National Provider Directory

National Provider Directory

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

2 N Belcher Rd
Clearwater, FL 33765
Phone (727) 449-2224

13906 Lakeshore Blvd
Ste 340
Hudson, FL 34667
Phone (727) 863-7000

8251 W Broward Blvd
Ste 102
Plantation, FL 33324
Phone (954) 271-8880

1800 N Federal Hwy
Ste 104
Pompano Beach, FL 33062
Phone (954) 782-0010

971 Village Blvd
West Palm Beach, FL 33409
Phone (561) 688-5030

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1720415474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 206",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135405",
            "telephone_number": "352-596-3032",
            "fax_number": "352-596-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13906 LAKESHORE BLVD STE 330",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671487",
            "telephone_number": "727-863-5242",
            "fax_number": "727-862-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDANT IPA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-596-3032",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME87617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.