JAMES E. PATRICK


Address: 32507 Hawks Lake Ln, Sorrento, FL 32776-7738
Phone: 4077911456

JAMES E. PATRICK (NPI# 1689663528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689663528
Entity Type Individual
Full Name JAMES E. PATRICK
Credential PA-C
Practice Address 32507 Hawks Lake Ln
Sorrento
FL 32776-7738
Practice Telephone 4077911456
Enumeration Date 2005-10-13
Last Update Date 2008-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9101332 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 291312700 05

Other Providers JAMES PATRICK

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1669590568 James Apton Patrick II Physician Assistant 183rd Street and 3 Ave, St Barnabas Hospital, Bronx, NY 10457-2594 2007-03-27
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1184703506 James Timothy Patrick Psychiatry & Neurology 3402 Mandy Ln, Morehead City, NC 28557-3161 2006-11-05
1275980096 James Patrick Counselor 1055 S Houston Ave, Tulsa, OK 74127-9043 2016-05-23
1497002802 James Patrick Pharmacist 1156 E Caswell St, Wadesboro, NC 28170-2376 2012-08-06
1740300136 James Lambert Patrick Radiology 600 Highland Ave, Madison, WI 53792-0001 2007-03-30

Office Location

Street Address 32507 HAWKS LAKE LN
City SORRENTO
State FL
Zip Code 32776-7738

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NPI Name Taxonomy Address Enumeration
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1053510024 Felecia Michelle Freeman Registered Nurse 33820 Terragona Dr, Sorrento, FL 32776-6917 2007-07-11
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1841606159 Kettelie Najac Counselor 23515 Valderama Ln, Sorrento, FL 32776-6937 2014-07-08
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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Competitor

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City SORRENTO
Zip Code 32776

Improve Information

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Dataset Information

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.

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