Doctor Name: | JOSEPH R PATTISON |
NPI Number: | 1275529414 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 2561 Oak St Jacksonville, FL - 322044559 |
Business Phone Number: | 9043846009 |
Business Fax Number: | 9043845354 |
Mailing Address: | 2561 Oak St, JACKSONVILLE |
State: | FL |
Postal Code: | 322044559 |
Phone Number: | 9043896009 |
Fax Number: | 9043845354 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |