Individual
PATRICK TENGCO GATMAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 SUMMIT BLVD STE 120, PENSACOLA, FL 32503-3357
(850) 416-2959
(850) 416-4865
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME116185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023302310001
—
PA
Enumeration date
04/04/2007
Last updated
10/03/2024
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