Individual
DR. PATRICK LOUIS BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3316 3RD ST S STE 104, JACKSONVILLE BEACH, FL 32250-6090
(904) 222-6262
Mailing address
3316 3RD ST S STE 104, JACKSONVILLE BEACH, FL 32250-6090
(904) 222-6262
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME120272
FL
Other
Enumeration date
08/08/2006
Last updated
03/11/2022
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