Provider Demographics
NPI:1477619757
Name:HILLIGOSS, PATRICIA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:HILLIGOSS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1886 MORNING SUN LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3321
Mailing Address - Country:US
Mailing Address - Phone:848-702-4462
Mailing Address - Fax:
Practice Address - Street 1:990 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5403
Practice Address - Country:US
Practice Address - Phone:239-434-6300
Practice Address - Fax:239-434-7174
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9104013363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3550055OtherCIGNA
FLY0J30OtherBCBS OF FL
FL1228623OtherWELLCARE
FL398590OtherAVMED
FLP01217083OtherRAILROAD MCR
FLP1019785OtherFREEDOM
FLP958314OtherOPTIMUM
FL5186901OtherAETNA
FLAA960XMedicare PIN
FL398590OtherAVMED
FL5186901OtherAETNA