| Doctor Name: | DIMPLE RAHUL DESAI |
| NPI Number: | 1497085930 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | TN38341 |
| Business Practice Address: | 2100 Via Bella Blvd Suite 103 Land O Lakes, FL - 346395429 |
| Business Phone Number: | 8137125700 |
| Business Fax Number: | 8133555060 |
| Mailing Address: | 38135 Market Sq, ZEPHYRHILLS |
| State: | FL |
| Postal Code: | 335427505 |
| Phone Number: | 8135284975 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2010 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | TN38341 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |