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NPI Code Detail

MEDICARE: ROBERT W PATTON JR MD JD PA

MEDICARE: ROBERT W PATTON JR MD JD 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
1207RN0300XNephrology PhysicianME49564FL

General Provider Information

NPI Number : 1871990473
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT W PATTON JR MD JD PA
Provider Business Mailing Address
First Line : 613 S MYRTLE AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5615
Country : US
Telephone Number : 727-478-0355
Fax Number : 727-470-2004
Provider Business Practice Location Address
First Line : 613 S MYRTLE AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5615
Country : US
Telephone Number : 727-478-0355
Fax Number : 727-470-2004
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT W PATTON JR.
Credential : MD JD
Telephone Number : 727-478-0355
Provider Enumeration Date : 11/25/2014
Last Update Date : 11/25/2014

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