Provider Demographics
NPI:1740544923
Name:VICKERS, PATRICK BRANDON (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:BRANDON
Last Name:VICKERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:150 SE 17TH ST STE 501
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5176
Mailing Address - Country:US
Mailing Address - Phone:434-799-3859
Mailing Address - Fax:434-773-6803
Practice Address - Street 1:150 SE 17TH ST STE 501
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5176
Practice Address - Country:US
Practice Address - Phone:434-799-3859
Practice Address - Fax:434-773-6803
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB10490600207RI0200X
PAOS017570207RI0200X
VA0102203852207RI0200X
NC01919207RI0200X
TN2828207RI0200X
FLOS15017207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease