Patterson, Jay R

Patterson, Jay R is an individual health care provider with primary practice located at 1801 Barrs St Ste 500, Jacksonville FL 32204-4746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Patterson, Jay R can be contacted via phone (904) 388-1820.

Contact Information

Primary practice address
1801 Barrs St Ste 500 Jacksonville FL 32204-4746
Phone: (904) 388-1820
Fax: (904) 388-1827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME62363 Florida
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 030852 Georgia

Profile Details

NPI number 1104829399
LBN Legal business name Patterson, Jay R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Feb 24th, 2014 - about 10 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 1104829399 NPPES
Florida Other 212236 AVMED
Florida MEDICAID 371127701 AVMED
Florida Other 4328516 AVMED
Florida Other 67555 AVMED
Florida MEDICAID 00518075A AVMED
Florida MEDICAID 00518075B AVMED
Florida Other 15092 AVMED

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