MR. DIPAL SURENDRA DESAI (NPI# 1821555442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821555442 |
| Entity Type | Individual |
| Full Name | MR. DIPAL SURENDRA DESAI |
| Practice Address |
11720 Dr Martin Luther King Boulevard Seffner FL 33584 |
| Mailing Address |
11720 E Dr Martin Luther King Jr Blvd Seffner FL 33584-4923 |
| Practice Telephone | 8136840292 |
| Practice Fax Number | 8136532632 |
| Mailing Telephone | 8136840292 |
| Mailing Fax Number | 8136532632 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS31227 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447364 | Dipal Desai | Physician Assistant | 9000 Franklin Square Dr, Rosedale, MD 21237-3901 | 2015-05-26 |
| Street Address |
11720 DR MARTIN LUTHER KING BOULEVARD |
| City | SEFFNER |
| State | FL |
| Zip Code | 33584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508395997 | Patricia R Philbert | Clinic/Center | 311 Carriage Oak Place, Seffner, FL 33584 | 2017-06-08 |
| 1225584824 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 11782 E Dr. Mlk Jr. Blvd, Seffner, FL 33584 | 2016-09-01 |
| 1023564903 | Georges Raffoul | Dentist | 2744 South Florida Ave, Lakeland, FL 33584 | 2016-08-30 |
| 1407302771 | Ashari Taylor | Physical Therapy Assistant | 11754 E Dr Mlk Jr Blvd, Seffner, FL 33584 | 2016-08-28 |
| 1235547043 | Foot & Ankle of Tampa Bay, Pllc | Podiatrist | 2204 S. Parson Ave, Seffner, FL 33584 | 2014-07-24 |
| 1205108990 | Brenda Thuy Dang-nguyen | Pharmacist | 11115 E Dr Mlk Jr Blvd, Seffner, FL 33584 | 2012-01-27 |
| 1205106895 | Joy Aclan | Pharmacist | 11115 E Dr. Martin Luther King Jr Blvd, Seffner, FL 33584 | 2012-01-12 |
| 1366748659 | Sarah Marilyn Ball | Massage Therapist | 2027 S. Parsons Ave., Seffner, FL 33584 | 2011-02-03 |
| 1386814366 | Total Orthopedic Rehabilitation, Inc | Chiropractor | 1115 Dr Martin Luther King Junior Blvd, Seffner, FL 33584 | 2008-03-06 |
| 1992838536 | Patricia E Gresko Siemionko | Nurse Practitioner | 770 Dr. Martin Luther King Blvd. West, Seffner, FL 33584 | 2007-03-13 |
| Find all providers in zip 33584 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658727 | Adam Gardner | Pharmacist | 1812 S Parsons Ave Unit 104, Seffner, FL 33584-7201 | 2018-08-09 |
| 1861937484 | Justine Fullenwider | Pharmacist | 11782 Martin Luther King Blvd E, Seffner, FL 33584-4923 | 2017-01-05 |
| 1639570617 | Dwight Colston | Pharmacist | 806 Hickory Fork Dr, Seffner, FL 33584-4754 | 2014-09-10 |
| 1992060792 | Atulkumar R Malavia | Pharmacist | 750 Mlk Blvd, Seffner, FL 33584-4534 | 2012-07-08 |
| 1205108990 | Brenda Thuy Dang-nguyen | Pharmacist | 11115 E Dr Mlk Jr Blvd, Seffner, FL 33584 | 2012-01-27 |
| 1205106895 | Joy Aclan | Pharmacist | 11115 E Dr. Martin Luther King Jr Blvd, Seffner, FL 33584 | 2012-01-12 |
| 1518236231 | Reyna Chon | Pharmacist | 11115 E Mlk Blvd, Seffner, FL 33584-8378 | 2011-12-27 |
| 1881963593 | Sevette Clark | Pharmacist | 11115 Martin Luther King Blvd, Seffner, FL 33584-8378 | 2011-12-26 |
| 1013560762 | Gopi Patel | Pharmacist | 1812 S Parsons Ave Unit 104, Seffner, FL 33584-7201 | 2019-07-22 |
| 1891243564 | Terrence B Robinson | Pharmacist | 704 W Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4534 | 2016-09-12 |
| Find all providers in SEFFNER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.