Provider Demographics
NPI:1215928007
Name:FEARING, PATRICIA MORRIS (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MORRIS
Last Name:FEARING
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 W NEWBERRY RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4381
Mailing Address - Country:US
Mailing Address - Phone:352-331-3736
Mailing Address - Fax:352-333-7834
Practice Address - Street 1:6440 W NEWBERRY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4381
Practice Address - Country:US
Practice Address - Phone:352-331-3736
Practice Address - Fax:352-333-7834
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49830207VG0400X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063483200Medicaid
FL08840AMedicare ID - Type Unspecified
FLE51896Medicare UPIN