Individual
DR. JAY R PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 BARRS ST, STE 500, JACKSONVILLE, FL 32204-4746
(904) 388-1820
(904) 388-1827
Mailing address
562 PARK ST, STE 310, JACKSONVILLE, FL 32204-2962
(904) 633-2021
(904) 633-9793
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
030852
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME62363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00518075A
—
GA
05
—
00518075B
—
GA
01
—
15092
BCBS
FL
01
—
212236
AVMED
FL
05
—
371127701
—
FL
01
—
4328516
AETNA
FL
01
—
67555
BCBS
GA
Enumeration date
05/23/2005
Last updated
02/24/2014
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