Individual
JARED JAMES PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2011 HARRISON AVE, PANAMA CITY, FL 32405-4545
(850) 691-4188
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(844) 261-6839
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME162818
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME162818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QUCX5
BCBSFL
FL
Enumeration date
07/05/2006
Last updated
06/12/2023
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