Individual
DR. DESMOND EMMETT FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1329 SW 16TH ST, SUITE 4270, GAINESVILLE, FL 32608-1128
(352) 265-5911
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TRN16043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012366400
—
FL
Enumeration date
06/01/2011
Last updated
09/23/2014
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