Gorrell, Patrick

Gorrell, Patrick is an sole proprietor health care provider with primary practice located at 2600 Buckingham Rd , Fort Myers FL 33905-2499. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gorrell, Patrick can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
2600 Buckingham Rd Fort Myers FL 33905-2499
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL4508 Florida

Profile Details

NPI number 1760830244
LBN Legal business name Gorrell, Patrick
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2016
Last updated Sep 14th, 2020 - about 6 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 1760830244 NPPES
Florida Other AL4508 FLORIDA BOARD OF ATHLETIC TRAINING

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