MEDICARE: DR. ANN MARIE PATRICK DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS9432	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417905886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN MARIE PATRICK DO

Provider Business Mailing Address
First Line	:	5975 SUNSET DR
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5166
Country	:	US
Telephone Number	:	786-547-1738
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 SW 13TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134-2726
Country	:	US
Telephone Number	:	786-547-1738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/28/2024

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Directions to “ DR. ANN MARIE PATRICK DO” Practice Location

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