Individual
PATRICK OHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(401) 489-0109
Mailing address
120 LIELMANIS AVE UNIT 1939, HURLBURT FIELD, FL 32544-5612
(401) 489-0109
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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