MEDICARE: MICHAEL T PATTEN MD PA

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	208600000X	Surgery Physician	ME #0046220	FL

General Provider Information

NPI Number	:	1942357793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL T PATTEN MD PA

Provider Business Mailing Address
First Line	:	4521 PGA BLVD # 295
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3997
Country	:	US
Telephone Number	:	561-624-7315
Fax Number	:	561-624-7320

Provider Business Practice Location Address
First Line	:	4521 PGA BLVD # 295
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3997
Country	:	US
Telephone Number	:	561-624-7315
Fax Number	:	561-624-7320

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL T PATTEN
Credential	:	M.D.
Telephone Number	:	561-624-7315

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/22/2020

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