Organization
DR. PATRICK T. HENNESSEY & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK T HENNESSEY M.D. (PHYSICIAN)
(407) 903-0634
Entity
Organization
Contact information
Practice address
6000 TURKEY LAKE RD, SUITE 208, ORLANDO, FL 32819-4200
(407) 903-0634
(407) 206-3676
Mailing address
6000 TURKEY LAKE RD, SUITE 208, ORLANDO, FL 32819-4200
(407) 903-0634
(407) 206-3676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME63921
FL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
ME63921
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME63921
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME63921
FL
2083P0901X
Public Health & General Preventive Medicine Physician
ME63921
FL
208D00000X
General Practice Physician
ME63921
FL
Other
Enumeration date
06/25/2007
Last updated
04/24/2013
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