Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gunj Patel, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1194522847

Gunj Patel, PHYSICIANASSISTANT is a Physician Assistant in Melbourne, Florida. Graduated from Lincoln Memorial University Medical Department in 2024, 2 years ago. Practices with Divani Dermatology LLC, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
Lincoln Memorial University Medical Department
In the registry since
2025

Practice location Address checks out

2571 W Eau Gallie Blvd Ste 2
Melbourne, FL 32935-8302
Phone: (772) 217-5362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194522847
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 28, 2025
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025
Mailing address5812 Westhaven Cv, Bradenton, FL 34203-5587

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2024 (2 years in practice)
Group practice Divani Dermatology Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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