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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1790946069 NPPES
Florida MEDICAID 003949600

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