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Organization
PATTERSONMD LLC
Active
Organization
PATTERSONMD LLC
Active
Other names
PattersonMD Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ELTANYA A PATTERSON MD (OWNER)
(800) 341-5096
Entity
Organization
Contact information
Practice address
18851 NE 29TH AVE STE 700, AVENTURA, FL 33180-2845
(305) 965-4997
(305) 907-5669
Mailing address
18121 NW 9TH AVE, MIAMI, FL 33169-4215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME115754
STATE LICENSE
FL
Enumeration date
08/12/2020
Last updated
03/09/2021
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