Provider Demographics
NPI:1649265067
Name:REME, PATRICK (MD)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:REME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 NW 3RD CT
Mailing Address - Street 2:SUITE 9
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2857
Mailing Address - Country:US
Mailing Address - Phone:954-327-8405
Mailing Address - Fax:954-327-0176
Practice Address - Street 1:4101 NW 3RD CT
Practice Address - Street 2:SUITE 9
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2857
Practice Address - Country:US
Practice Address - Phone:954-327-8405
Practice Address - Fax:954-327-0176
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 87834207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267511100Medicaid
FLH97087Medicare UPIN
FLU1724ZMedicare ID - Type Unspecified