Individual
MRS. PATRICIA MARY TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
430 COLLEGE DR, SUITE100, MIDDLEBURG, FL 32068-8530
(904) 298-1994
Mailing address
430 COLLEGE DR, SUITE100, MIDDLEBURG, FL 32068-8530
(904) 298-1994
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN 9265003
FL
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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