Provider Demographics
NPI:1457510695
Name:CATES LONBERGER, PATRICE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:MARIE
Last Name:CATES LONBERGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1111 W FAIRBANKS AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4720
Mailing Address - Country:US
Mailing Address - Phone:407-635-5565
Mailing Address - Fax:321-842-4002
Practice Address - Street 1:1111 W FAIRBANKS AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4720
Practice Address - Country:US
Practice Address - Phone:407-660-7150
Practice Address - Fax:407-660-7108
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01068539207R00000X, 208000000X
FLME143610207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics