Doctor Name: | N PATRICK HALE |
NPI Number: | 1780686279 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0013642 |
Business Practice Address: | 1400 Us Highway 1 S St Augustine, FL - 320844211 |
Business Phone Number: | 9048292286 |
Business Fax Number: | 9048105687 |
Mailing Address: | 1400 Us Highway 1 S, ST AUGUSTINE |
State: | FL |
Postal Code: | 320844211 |
Phone Number: | 9048292286 |
Fax Number: | 9048105687 |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 05/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0013642 |
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. |