Individual
MRS. PATRICIA MARIE PADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
205 E. BRANDON BLVD., SUITE C, BRANDON, FL 33511
(813) 681-2622
(813) 681-2622
Mailing address
205 E. BRANDON BLVD., SUITE C, BRANDON, FL 33511
(813) 681-2622
(813) 681-2622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AS2663
FL
Other
Enumeration date
05/21/2012
Last updated
01/12/2023
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