Provider Demographics
NPI:1609272350
Name:PATRICK J MCFADDEN DO PA
Entity Type:Organization
Organization Name:PATRICK J MCFADDEN DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCFADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-483-7449
Mailing Address - Street 1:2201 CANTU CT STE 115
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6254
Mailing Address - Country:US
Mailing Address - Phone:941-371-7700
Mailing Address - Fax:888-972-9784
Practice Address - Street 1:1201 JACARANDA BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-4535
Practice Address - Country:US
Practice Address - Phone:941-371-7700
Practice Address - Fax:888-972-9784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty