Healthcare Provider Details

I. General information

NPI: 1285644708
Provider Name (Legal Business Name): DANIEL A PATTERSON MD,PHD, MRCP,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 10/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 SE 29TH PL STE 102
OCALA FL
34471-0488
US

IV. Provider business mailing address

321 SE 29TH PL STE 102
OCALA FL
34471-0488
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-9631
  • Fax: 352-622-8812
Mailing address:
  • Phone: 352-622-9631
  • Fax: 352-622-8812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number18114
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: