Desai, Utpal S

Desai, Utpal S is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 308 , Daytona Beach FL 32117-5137. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Desai, Utpal S can be contacted via phone (386) 231-3600.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 308 Daytona Beach FL 32117-5137
Phone: (386) 231-3600
Fax: (386) 231-3602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME82884 Florida

Profile Details

NPI number 1760478101
LBN Legal business name Desai, Utpal S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Nov 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760478101 NPPES
Florida MEDICAID 261274700

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