Individual
DR. PATRICE C MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PA
Contact information
Practice address
801 LAUREL OAK DR STE 715, NAPLES, FL 34108
(239) 254-0535
(239) 254-0532
Mailing address
801 LAUREL OAK DR STE 715, NAPLES, FL 34108-2754
(239) 254-0535
(239) 254-0532
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME24010
FL
2084P0800X
Psychiatry Physician
Primary
ME24010
FL
Other
Enumeration date
04/16/2007
Last updated
07/03/2018
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