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NPI Code Detail

MEDICARE: PATRICK JOSEPH HOUDE PA

MEDICARE: PATRICK JOSEPH HOUDE PA
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
1363AS0400XSurgical Physician Assistant001899IA
2363A00000XPhysician AssistantPA9108902FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2189088OTHERIAHEALTH ALLIANCE
3PA9108902OTHERFLMEDICAL LICENSE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417947128
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK JOSEPH HOUDE PA
Provider Business Mailing Address
First Line : 89 W COPELAND DR
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2002
Country : US
Telephone Number : 321-841-7550
Fax Number : 321-841-8185
Provider Business Practice Location Address
First Line : 89 W COPELAND DR
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2002
Country : US
Telephone Number : 321-841-7550
Fax Number : 321-841-8185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 11/15/2016

Similar Medicare Providers

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Practice Location Address:
89 W COPELAND DR
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1699767574 — DR. MUHAMMAD A JAWAD M.D.
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1437104577 — JACQUES NATHAN FARKAS MD
Practice Location Address:
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1821032533 — JILL D GRESH ARNP
Practice Location Address:
89 W COPELAND DR
ORLANDO, FL
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1033144597 — DR. GEORGE FREDERICK ELLIS MD
Practice Location Address:
89 W COPELAND DR
ORLANDO, FL
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Practice Phone: 321-842-6910
Practice Fax: 321-843-5998
1194836676 — DR. SHEHZAD HAFIZ CHOUDRY MD
Practice Location Address:
89 W COPELAND DR
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Practice Phone: 321-841-1570
Practice Fax: 321-841-1569

Directions to “ PATRICK JOSEPH HOUDE PA” Practice Location

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