Individual
PATRICIA MARIE BASTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10255 BLOSSOM LAKE DR, SEMINOLE, FL 33772-7446
(727) 398-2769
Mailing address
10255 BLOSSOM LAKE DR, SEMINOLE, FL 33772-7446
(727) 398-2769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9228853
FL
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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