Maeng, Patrick Shin
Maeng, Patrick Shin is an individual health care provider with primary practice located at 12748 University Dr , Fort Myers FL 33907-5634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Maeng, Patrick Shin can be contacted via phone (239) 437-5500.Contact Information
Primary practice address
12748 University Dr
Fort Myers FL 33907-5634
Phone: (239) 437-5500
Fax: (239) 437-5507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME110726 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 110726 | Florida |
Profile Details
NPI number | 1790946069 |
---|---|
LBN Legal business name | Maeng, Patrick Shin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2008 |
Last updated | Apr 17th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790946069 | NPPES |
Florida | MEDICAID | 003949600 |
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