Healthcare Provider Details
I. General information
NPI: 1669669826
Provider Name (Legal Business Name): PATRICIA ARAIZA HESS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/01/2007
Last Update Date: 12/09/2022
Certification Date: 11/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2725 NW 38TH ST
GAINESVILLE FL
32605-2653
US
IV. Provider business mailing address
2725 NW 38TH ST
GAINESVILLE FL
32605-2653
US
V. Phone/Fax
- Phone: 352-224-5220
- Fax: 352-478-8949
- Phone: 713-376-2694
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | M5752 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | ME104847 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: