Individual
PATRICK J MULLEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7154 N UNIVERSITY DR # 316, TAMARAC, FL 33321-2916
(954) 720-3188
(954) 586-2589
Mailing address
109 ROYAL PARK DR APT 4H, OAKLAND PARK, FL 33309-5873
(954) 543-4372
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ARNP2008072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306734300
—
FL
Enumeration date
07/27/2006
Last updated
03/07/2016
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