Individual
PATRICK HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 N CLYDE MORRIS BLVD STE 550-560, DAYTONA BEACH, FL 32114-2781
(386) 255-2340
(386) 258-3284
Mailing address
1600 SW ARCHER RD BOX 100265, GAINESVILLE, FL 32610-3001
(352) 273-9000
(352) 392-8413
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
39059
KY
207T00000X
Neurological Surgery Physician
Primary
ME143543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200081060A
—
OK
Enumeration date
08/29/2005
Last updated
02/10/2020
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