Harrison, Patricia

Harrison, Patricia is an sole proprietor health care provider with primary practice located at 1025 Beal Pkwy Nw Suite B-1, Fort Walton Beach FL 32547-1481. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Harrison, Patricia can be contacted via phone (850) 862-4960.

Contact Information

Primary practice address
1025 Beal Pkwy Nw Suite B-1 Fort Walton Beach FL 32547-1481
Phone: (850) 862-4960
Fax: (850) 862-4529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME71795 Florida

Profile Details

NPI number 1922086867
LBN Legal business name Harrison, Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2005
Last updated Oct 14th, 2010 - about 14 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 1922086867 NPPES
Florida MEDICAID 253694300

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