MEDICARE: NICHOLAS PATETE

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	207R00000X	Internal Medicine Physician	DR.0077661	CO

General Provider Information

NPI Number	:	1780389874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS PATETE

Provider Business Mailing Address
First Line	:	1600 S ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2510
Country	:	US
Telephone Number	:	954-355-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 S ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2510
Country	:	US
Telephone Number	:	954-355-4400
Fax Number	:

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

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	06/03/2026

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Directions to “ NICHOLAS PATETE ” Practice Location

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