Individual ProviderDeval PatelHospitalistAllopathic & Osteopathic PhysiciansPractice Address820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205(904) 202-3860(904) 202-2092PECOS EnrollmentBased on the most recent information from CMS, provider Deval Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1265811160Provider TypeIndividualFull NamePatel, DevalTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/26/2015Last Updated11/19/2024Contact InformationPractice LocationPractice Address820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205Phone(904) 202-3860Fax(904) 202-3846Mailing LocationMailing AddressPO Box 746638, Atlanta, GA 30374-6638Phone(904) 202-2092Fax(904) 376-4075Provider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseME143539FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME143539Florida