Provider Demographics
NPI:1285644708
Name:PATTERSON, DANIEL A (MD,PHD, MRCP,)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD,PHD, MRCP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 SE 29TH PL
Mailing Address - Street 2:STE 102
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0488
Mailing Address - Country:US
Mailing Address - Phone:352-622-9631
Mailing Address - Fax:352-622-8812
Practice Address - Street 1:321 SE 29TH PL
Practice Address - Street 2:STE 102
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0488
Practice Address - Country:US
Practice Address - Phone:352-622-9631
Practice Address - Fax:352-622-8812
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18114207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259480300Medicaid
FL593329469OtherTAX ID #
FLME80575OtherFL ME #
FL259480300Medicaid