Individual
JEBHAR PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2137 16TH ST N, ST PETERSBURG, FL 33704-3923
(278) 221-8967
Mailing address
2115 CENTRAL AVE APT 137, ST PETERSBURG, FL 33713-8815
(727) 526-9135
(727) 526-4346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME125775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021967800
—
FL
Enumeration date
04/29/2012
Last updated
08/03/2022
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