Provider Demographics
NPI:1902033079
Name:DOBBINS, PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:DOBBINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4897 GAMBERO WAY
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-5127
Mailing Address - Country:US
Mailing Address - Phone:510-747-8707
Mailing Address - Fax:239-237-5471
Practice Address - Street 1:4897 GAMBERO WAY
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-5127
Practice Address - Country:US
Practice Address - Phone:510-747-8707
Practice Address - Fax:239-237-5471
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14774111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor