MEDICARE: DR. PATRICIA LOUISE DRANGINIS D.O.

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	207P00000X	Emergency Medicine Physician	OS 4401	FL

General Provider Information

NPI Number	:	1710002274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA LOUISE DRANGINIS D.O.

Provider Business Mailing Address
First Line	:	93 CUNNINGHAM DR
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-5905
Country	:	US
Telephone Number	:	386-428-7811
Fax Number	:

Provider Business Practice Location Address
First Line	:	93 CUNNINGHAM DR
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-5905
Country	:	US
Telephone Number	:	386-428-7811
Fax Number	:

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. PATRICIA LOUISE DRANGINIS D.O.” Practice Location

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