Organization
PATRICK G FAIRCHILD MD PA
Active
Organization
PATRICK G FAIRCHILD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY MYERS (BILLING MANAGER)
(407) 265-8142
Entity
Organization
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 32791-9023
(407) 265-8142
(352) 404-7723
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261443000
—
FL
Enumeration date
12/06/2006
Last updated
11/08/2013
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