Healthcare Provider Details

I. General information

NPI: 1245970276
Provider Name (Legal Business Name): JUSTIN JAMES PATTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 W BROWARD BLVD
PLANTATION FL
33324-2701
US

IV. Provider business mailing address

7162 MICHIGAN ISLE RD
LAKE WORTH FL
33467-7755
US

V. Phone/Fax

Practice location:
  • Phone: 954-473-6600
  • Fax:
Mailing address:
  • Phone: 561-870-5796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME178138
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: