Doctor Name: | MR. PATRICK STEVEN PARTEN |
NPI Number: | 1154702983 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA9108768 |
Business Practice Address: | 100 Whetstone Pl Suite 310 Saint Augustine, FL - 320865775 |
Business Phone Number: | 9042177450 |
Business Fax Number: | |
Mailing Address: | Po Box 3123, SAINT AUGUSTINE |
State: | FL |
Postal Code: | 320853123 |
Phone Number: | 9048244990 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2015 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA9108768 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |