Healthcare Provider Details

I. General information

NPI: 1396780037
Provider Name (Legal Business Name): PATRICK M CLOUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 36TH ST STE B
VERO BEACH FL
32960-6599
US

IV. Provider business mailing address

4555 WEST SCHROEDER DR STE 170
MILWAUKEE WI
53223
US

V. Phone/Fax

Practice location:
  • Phone: 772-778-3113
  • Fax:
Mailing address:
  • Phone: 414-365-3210
  • Fax: 414-365-3225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME164865
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number45691
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: