Bedoya, Patricia

Bedoya, Patricia is an individual health care provider with primary practice located at 183 Nw Gwen Lake Ave , Lake City FL 32055-3711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bedoya, Patricia can be contacted via phone (386) 752-0442.

Contact Information

Primary practice address
183 Nw Gwen Lake Ave Lake City FL 32055-3711
Fax: (386) 719-4752
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0019743 Florida

Profile Details

NPI number 1548212400
LBN Legal business name Bedoya, Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548212400 NPPES
Florida Other 12040 PROVIDER ID

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