Individual
MR. PATRICK BREDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1208 E CROSS ST, CENTERVILLE, IA 52544-3501
(319) 666-4224
Mailing address
PO BOX 62707, FORT MYERS, FL 33906-2707
(239) 931-3440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001741
IA
363AM0700X
Medical Physician Assistant
PA9100690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291703300
—
FL
01
—
Y0H8V
FLORIDA BLUE
FL
Enumeration date
05/18/2006
Last updated
05/17/2023
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