Organization
EDGAR PATINO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR PATINO MD (PRESIDENT)
(305) 669-7363
Entity
Organization
Contact information
Practice address
7600 S RED RD, SUITE 225, SOUTH MIAMI, FL 33143-5428
(305) 669-7363
(305) 663-1118
Mailing address
7600 S RED RD, SUITE 225, SOUTH MIAMI, FL 33143-5428
(305) 669-7363
(305) 663-1118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 41322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36365
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/28/2007
Last updated
08/22/2020
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