Individual ProviderSanjay PatelPharmacistPharmacy Service ProvidersPractice Address3770 N Goldenrod Rd, Winter Park, FL 32792-8832(407) 670-0389PECOS EnrollmentBased on the most recent information from CMS, provider Sanjay 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 ID1689969248Provider TypeIndividualFull NamePatel, SanjayCredentialRPH.GenderMaleSole ProprietorNoEnumeration Date6/12/2011Last Updated6/12/2011Contact InformationPractice LocationPractice Address3770 N Goldenrod Rd, Winter Park, FL 32792-8832Phone(407) 670-0389Fax(407) 671-2080Mailing LocationMailing Address3770 N Goldenrod Rd, Winter Park, FL 32792-8832Phone(407) 670-0389Fax(407) 671-2080Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePS27418Florida