Doctor Name: | MR. JAMES BRYANT PATE |
NPI Number: | 1184062564 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | ARNP9205194 |
Business Practice Address: | 1050 Old Camp Rd Suite 270 The Villages, FL - 321621762 |
Business Phone Number: | 6096140980 |
Business Fax Number: | 6097847474 |
Mailing Address: | 1050 Old Camp Rd, Suite 270 THE VILLAGES |
State: | FL |
Postal Code: | 321621762 |
Phone Number: | 6096140980 |
Fax Number: | 6097847474 |
NPI Enumeration Date: | 06/07/2013 |
NPI Last Update Date: | 06/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | ARNP9205194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |