MEDICARE: PATRICK FLEISSNER RRT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist

General Provider Information

NPI Number	:	1225606411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK FLEISSNER RRT

Provider Business Mailing Address
First Line	:	2049 MORNING STAR DR
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34714-6892
Country	:	US
Telephone Number	:	352-255-1401
Fax Number	:

Provider Business Practice Location Address
First Line	:	16966 CAGAN RIDGE BLVD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34714-9656
Country	:	US
Telephone Number	:	352-536-8821
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	06/14/2021

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