Provider Demographics
NPI:1346541109
Name:PATRICK JOSEPH ST GERMAIN
Entity Type:Organization
Organization Name:PATRICK JOSEPH ST GERMAIN
Other - Org Name:ST GERMAIN CHIROPRACTIC FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-889-3223
Mailing Address - Street 1:877 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-6522
Mailing Address - Country:US
Mailing Address - Phone:407-889-3223
Mailing Address - Fax:407-889-7263
Practice Address - Street 1:877 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6522
Practice Address - Country:US
Practice Address - Phone:407-889-3223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDE264ZMedicare PIN
FL22507AMedicare PIN
FLDS690ZMedicare PIN
FLBP639ZMedicare PIN
FL38118Medicare PIN