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Individual

CHRISTOPHER ROBERT PATENAUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
385 WAYMONT CT, LAKE MARY, FL 32746-3574
(407) 851-5121
Mailing address
316 OAK SPRINGS DR, DEBARY, FL 32713-4808
(413) 427-8879

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113229
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PA9113229
FL

Other

Enumeration date
06/21/2018
Last updated
10/29/2024
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