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Phillip Graddy Patacsil
Student in an Organized Health Care Education/Training Program in Fort Myers, Florida
NPI 1689441768

Phillip Graddy Patacsil is a Student in an Organized Health Care Education/Training Program based in Fort Myers, FL. Phillip Graddy Patacsil practices in Fort Myers, FL. The NPI Number for Phillip Graddy Patacsil is 1689441768 and holds a License No. (Florida).

The current practice location address for Phillip Graddy Patacsil is 9261 Central Park Dr Apt 205, Fort Myers, FL and can be reached out via phone at 407-446-0136.

Location: 9261 Central Park Dr Apt 205, Fort Myers, FL, 33919-4838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689441768
Provider Name
Phillip Graddy Patacsil
Credential
Provider Entity Type
Individual
Gender
Male
Address
9261 Central Park Dr Apt 205, Fort Myers, FL, 33919-4838
Phone Number
407-446-0136
Fax Number
Provider Enumeration Date
12/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9261 Central Park Dr Apt 205
City
Fort Myers
State
Florida
Zip
33919-4838
Phone Number
407-446-0136
Fax Number
person
Provider Business Mailing Address Details
Address
9261 Central Park Dr Apt 205
City
Fort Myers
State
Florida
Zip
33919-4838
Phone Number
407-446-0136
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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