Provider Demographics
NPI:1972642346
Name:HILL, PATRICIA B (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:B
Last Name:HILL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5992 BERRYHILL ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570
Mailing Address - Country:US
Mailing Address - Phone:850-623-9787
Mailing Address - Fax:
Practice Address - Street 1:5992 BERRYHILL RD, STE 300
Practice Address - Street 2:GULF COAST PHYSICIAN PARTNERS, PA
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-4009
Practice Address - Country:US
Practice Address - Phone:850-623-9787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9223383363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3066428-00Medicaid