Organization
PATRICIA MODAD, MD, PA
Active
Other names
Palm Coast OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA ISABEL MODAD MD (PRESIDENT)
(386) 447-6831
Entity
Organization
Contact information
Practice address
50 LEANNI WAY, SUITES A3 & A4, PALM COAST, FL 32137-4751
(386) 447-6831
(386) 447-6834
Mailing address
50 LEANNI WAY, SUITES A3 & A4, PALM COAST, FL 32137-4751
(386) 447-6831
(386) 447-6834
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 103310
FL
Other
Enumeration date
04/18/2011
Last updated
12/06/2011
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