Provider Demographics
NPI:1194708834
Name:CASE, PATRICE C (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:C
Last Name:CASE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:700 2ND AVE N
Mailing Address - Street 2:STE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5756
Mailing Address - Country:US
Mailing Address - Phone:239-263-6666
Mailing Address - Fax:239-263-6163
Practice Address - Street 1:700 2ND AVE N
Practice Address - Street 2:STE 201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5756
Practice Address - Country:US
Practice Address - Phone:239-263-6666
Practice Address - Fax:239-263-6163
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2008-10-10
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Provider Licenses
StateLicense IDTaxonomies
FLME39722207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAM649ZMedicare PIN