Provider Demographics
NPI:1134187073
Name:MADDEN, PATRICK J III (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:MADDEN
Suffix:III
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 WALDEMERE ST
Mailing Address - Street 2:SUITE 810
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2943
Mailing Address - Country:US
Mailing Address - Phone:617-797-0110
Mailing Address - Fax:941-894-1176
Practice Address - Street 1:1921 WALDEMERE ST
Practice Address - Street 2:SUITE 810
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2943
Practice Address - Country:US
Practice Address - Phone:617-797-0110
Practice Address - Fax:941-894-1176
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA782472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14M8VOtherBCBS
FLME113116OtherMEDICAL LICENSE
FLME113116OtherMEDICAL LICENSE