Individual
PATRICIA ANN MISSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
4037 NW 86TH TER, GAINESVILLE, FL 32606-9277
(352) 594-1500
(352) 594-1926
Mailing address
4037 NW 86TH TER, GAINESVILLE, FL 32606-9277
(352) 594-1500
(352) 594-1926
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2013017451
MO
207N00000X
Dermatology Physician
Primary
ME139288
FL
207ND0900X
Dermatopathology Physician
2013017451
MO
207ND0900X
Dermatopathology Physician
ME139288
FL
Other
Enumeration date
07/28/2008
Last updated
01/27/2023
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