Healthcare Provider Details

I. General information

NPI: 1457617516
Provider Name (Legal Business Name): MARQUAND PATTON JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2012
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W 20TH AVE STE 205
HIALEAH FL
33016-1812
US

IV. Provider business mailing address

7100 W 20TH AVE STE 205
HIALEAH FL
33016-1812
US

V. Phone/Fax

Practice location:
  • Phone: 305-824-3451
  • Fax: 305-828-9492
Mailing address:
  • Phone: 480-652-1695
  • Fax: 855-340-0733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS019400
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberOS12388
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: