Individual
PATRICK G FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 OAKLEY SEAVER DR, SUITE 1, CLERMONT, FL 34711-1902
(352) 404-7718
(352) 404-7723
Mailing address
PO BOX 919023, ORLANDO, FL 32891-9023
(352) 404-7718
(352) 404-7723
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0069689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379120300
—
FL
Enumeration date
05/05/2006
Last updated
11/08/2013
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