Individual
PATRICK WILLIAM ED MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4434
(813) 844-4467
Mailing address
12400 101ST ST, LARGO, FL 33773-1934
(727) 581-5948
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 2129302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3160
FL BCBS PROVIDER #
FL
Enumeration date
09/22/2005
Last updated
07/08/2007
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