Provider Demographics
NPI:1699777516
Name:GRABLIN, PATRICK J (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:GRABLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2801 SE 1ST AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0478
Mailing Address - Country:US
Mailing Address - Phone:352-237-9298
Mailing Address - Fax:352-351-4193
Practice Address - Street 1:2801 SE 1ST AVE STE 302
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0478
Practice Address - Country:US
Practice Address - Phone:352-237-9298
Practice Address - Fax:352-351-4193
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2021-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME66545207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
5233508OtherAETNA
41287OtherBLUE SHIELD FLORIDA
FL1761909OtherUHC
15582OtherWELLCARE
611513700OtherUS DEPT LABOR
FL1761909OtherUHC
5828028005OtherCIGNA
5828028005OtherCIGNA
FL1761909OtherUHC
15582OtherWELLCARE
FL1720053127OtherMEDICARE GROUP
5233508OtherAETNA