Healthcare Provider Details

I. General information

NPI: 1073433637
Provider Name (Legal Business Name): MADELAINE JUDITH ANDREWS PATERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 100
NAPLES FL
34102-5886
US

IV. Provider business mailing address

4170 CRAYTON RD APT C6
NAPLES FL
34103-3127
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-0035
  • Fax:
Mailing address:
  • Phone: 416-856-7852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number46381
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: