Individual
PATRICK CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BUILDING CONTRACTOR
Contact information
Practice address
11595 NE COUNTY ROAD 237, LAKE BUTLER, FL 32054-5235
(352) 494-2300
Mailing address
11595 NE COUNTY ROAD 237, LAKE BUTLER, FL 32054-5235
(352) 494-2300
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CBC059880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690070400
—
FL
Enumeration date
04/08/2013
Last updated
04/08/2013
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