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Individual

DR. ELTANYA A. PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 769-8341
Mailing address
18121 NW 9TH AVE, MIAMI, FL 33169-4215
(305) 308-6823

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME115754
FL
208M00000X
Hospitalist Physician
ME115754
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000665896
ANTHEM BCBS KY
KY
05
7100118510
KY
Enumeration date
04/14/2008
Last updated
08/16/2023
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