Individual
DR. FILEMON R PATACXIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1706 RIGGINS RD, TALLAHASSEE, FL 32308-5318
(850) 878-4823
(850) 878-4893
Mailing address
1706 RIGGINS RD, TALLAHASSEE, FL 32308-5318
(850) 878-4823
(850) 878-4893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME60386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054950900
—
FL
01
—
066490
VISTA HEALTH PLAN
FL
01
—
080180490
MEDICARE RAILROAD CARRIER
FL
Enumeration date
08/21/2005
Last updated
07/21/2022
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