Healthcare Provider Details

I. General information

NPI: 1881664126
Provider Name (Legal Business Name): CAROL L. PATTERSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PINELLAS ST
CLEARWATER FL
33756-3804
US

IV. Provider business mailing address

300 PINELLAS ST
CLEARWATER FL
33756-3804
US

V. Phone/Fax

Practice location:
  • Phone: 727-462-7907
  • Fax: 727-462-7904
Mailing address:
  • Phone: 727-462-7907
  • Fax: 727-462-7904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME151814
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: