Healthcare Provider Details

I. General information

NPI: 1609272350
Provider Name (Legal Business Name): PATRICK J MCFADDEN DO PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2014
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

779 MEDICAL PARK DRIVE
ENGLEWOOD FL
34223-3980
US

IV. Provider business mailing address

2201 CANTU CT STE 115
SARASOTA FL
34232-6254
US

V. Phone/Fax

Practice location:
  • Phone: 941-371-7700
  • Fax: 888-972-9784
Mailing address:
  • Phone: 941-371-7700
  • Fax: 888-972-9784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: PATRICK J MCFADDEN
Title or Position: PRESIDENT
Credential: DO
Phone: 941-483-7449