Individual ProviderMirant Deepakbhai PatelPharmacistPharmacy Service ProvidersPractice Address1920 Aloma Ave, Winter Park, FL 32792-3207(407) 628-1899(916) 384-8073PECOS EnrollmentBased on the most recent information from CMS, provider Mirant Deepakbhai Patel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1154865632Provider TypeIndividualFull NamePatel, Mirant DeepakbhaiCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date12/18/2016Last Updated12/18/2016Contact InformationPractice LocationPractice Address1920 Aloma Ave, Winter Park, FL 32792-3207Phone(407) 628-1899FaxUnlisted FaxMailing LocationMailing Address2109 Meadow Glen Cv, Apt 203, Winter Park, FL 32792-1793Phone(916) 384-8073FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense55891Florida