Individual
DR. PATRICK F CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2190 HIGHWAY 85 N, NICEVILLE, FL 32578-1045
(850) 729-9490
(205) 437-5998
Mailing address
PO BOX 88490, CHICAGO, IL 60680-1490
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME73998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059185375
BCBS PROVIDER NUMBER
AL
05
—
253012100
—
FL
05
—
253012101
—
FL
01
—
42539
BCBS PROVIDER NUMBER
FL
Enumeration date
05/18/2006
Last updated
06/25/2009
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