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Contact Information

PATRICK E RONAN, PAC
1850 SW FOUNTAINVIEW BLVD
SUITE 105
PORT SAINT LUCIE, FL34986
 Phone: 772-336-2818
 Fax: 772-336-5313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PATRICK E RONAN · (Male)

NPI Number 1275520603
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/30/2005
Last updated 10/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9103651
  • NJ License # 25MP00083900
  • FL Medicaid 292376900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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