Healthcare Provider Details
I. General information
NPI: 1215928007
Provider Name (Legal Business Name): PATRICIA MORRIS FEARING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/02/2005
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6440 W NEWBERRY RD SUITE 202
GAINESVILLE FL
32605-4381
US
IV. Provider business mailing address
6440 W NEWBERRY RD SUITE 202
GAINESVILLE FL
32605-4381
US
V. Phone/Fax
- Phone: 352-331-3736
- Fax: 352-333-7834
- Phone: 352-331-3736
- Fax: 352-333-7834
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | ME49830 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME49830 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: