Provider Demographics
NPI:1073507620
Name:DOWER, PATRICK B (DC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:B
Last Name:DOWER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 GULF GATE DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-4815
Mailing Address - Country:US
Mailing Address - Phone:941-924-1227
Mailing Address - Fax:941-924-1227
Practice Address - Street 1:2226 GULF GATE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4815
Practice Address - Country:US
Practice Address - Phone:941-924-1227
Practice Address - Fax:941-924-1227
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006578111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00167057OtherRAILROAD MEDICARE
FL22852OtherBLUE CROSS
FL22852OtherBLUE CROSS
FLP00167057OtherRAILROAD MEDICARE