Provider Demographics
NPI:1194859983
Name:EHRING, PATRICIA T (DPM)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:T
Last Name:EHRING
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 PATRICIA AVE
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698
Mailing Address - Country:US
Mailing Address - Phone:727-733-4669
Mailing Address - Fax:727-734-4758
Practice Address - Street 1:780 PATRICIA AVE
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-7109
Practice Address - Country:US
Practice Address - Phone:727-733-4669
Practice Address - Fax:727-734-4758
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP002309213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65301Medicare ID - Type Unspecified
FLU45801Medicare UPIN