Provider Demographics
NPI:1770819419
Name:REDMAN, PATRICIA MURPHY (LMT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MURPHY
Last Name:REDMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5318 SW 91ST TER STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7150
Mailing Address - Country:US
Mailing Address - Phone:352-505-0888
Mailing Address - Fax:
Practice Address - Street 1:5318 SW 91ST TER STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7150
Practice Address - Country:US
Practice Address - Phone:352-505-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-01
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 55538225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist