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NPI Code Detail

MEDICARE: DR. PAMELA D DRAKE M.D.

MEDICARE:  DR. PAMELA D DRAKE  M.D.
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
12084P0800XPsychiatry Physician35066187OH

General Provider Information

NPI Number : 1831230937
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA D DRAKE M.D.
Provider Business Mailing Address
First Line : 2033 WOOD ST STE 220
Second Line :
City : SARASOTA
State : FL
Zip : 34237-7927
Country : US
Telephone Number : 941-677-3366
Fax Number : 941-677-3367
Provider Business Practice Location Address
First Line : 2033 WOOD ST STE 220
Second Line :
City : SARASOTA
State : FL
Zip : 34237-7927
Country : US
Telephone Number : 941-677-3366
Fax Number : 941-677-3367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 03/14/2017

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Directions to “ DR. PAMELA D DRAKE M.D.” Practice Location

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