Provider Demographics
NPI:1326340001
Name:MCFADDEN, PATRICIA CHRISTINE (DC, PA-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CHRISTINE
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:DC, PA-C
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:CHRISTINE
Other - Last Name:REICHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1801 LEE RD STE 304
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2101
Mailing Address - Country:US
Mailing Address - Phone:321-765-4373
Mailing Address - Fax:
Practice Address - Street 1:1801 LEE RD STE 304
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789
Practice Address - Country:US
Practice Address - Phone:321-765-4373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008755111N00000X
FLCH10817111N00000X
363AM0700X, 363AS0400X
FLPA9111611363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No111N00000XChiropractic ProvidersChiropractor
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical