Individual
DR. JAMES RANDALL PATRINELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 E MAIN ST STE 100, PENSACOLA, FL 32502-5998
(850) 473-0990
(850) 473-0790
Mailing address
17 E MAIN ST STE 100, PENSACOLA, FL 32502-5998
(850) 473-0990
(850) 473-0790
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
ME49837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043BM
MEDICARE GROUP
TX
01
—
1235222167
GROUP NPI
TX
01
—
1629161633
GROUP NPI
FL
01
—
1932292935
INDIVIDUAL NPI
—
01
—
85060F
MEDICARE
TX
Enumeration date
10/02/2006
Last updated
03/15/2023
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