Individual
LARRY T PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD # 100296, GAINESVILLE, FL 32610
(330) 543-8950
Mailing address
1600 SW ARCHER RD # 100296, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
35.054631
OH
2080P0210X
Pediatric Nephrology Physician
Primary
ME135748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025188400
—
FL
Enumeration date
07/06/2006
Last updated
07/31/2018
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