Ronan, Patrick E

Ronan, Patrick E is an individual health care provider with primary practice located at 1850 Sw Fountainview Blvd Suite 105, Port St Lucie FL 34986. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ronan, Patrick E can be contacted via phone (772) 336-2818.

Contact Information

Primary practice address
1850 Sw Fountainview Blvd Suite 105 Port St Lucie FL 34986
Phone: (772) 336-2818
Fax: (772) 336-5313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00083900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103651 Florida

Profile Details

NPI number 1275520603
LBN Legal business name Ronan, Patrick E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Oct 8th, 2013 - about 13 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 1275520603 NPPES
Florida MEDICAID 292376900

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