Provider Demographics
NPI:1487117115
Name:MULLEN, PATRICK SWEENEY (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:SWEENEY
Last Name:MULLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 BAHIA VISTA ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2611
Mailing Address - Country:US
Mailing Address - Phone:941-366-4422
Mailing Address - Fax:941-366-4420
Practice Address - Street 1:2650 BAHIA VISTA ST STE 102
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2611
Practice Address - Country:US
Practice Address - Phone:941-366-4422
Practice Address - Fax:941-366-4420
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL170535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty