Healthcare Provider Details

I. General information

NPI: 1730494022
Provider Name (Legal Business Name): PATRICIA A HESS MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2010
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 NW 16TH AVE STE A
GAINESVILLE FL
32601-4012
US

IV. Provider business mailing address

802 NW 16TH AVE STE A
GAINESVILLE FL
32601-4012
US

V. Phone/Fax

Practice location:
  • Phone: 352-224-5220
  • Fax: 352-505-5045
Mailing address:
  • Phone: 352-224-5220
  • Fax: 352-505-5045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME104847
License Number StateFL

VIII. Authorized Official

Name: DR. PATRICIA A HESS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 352-224-5220