Patrick Cunningham, BUILDING CONTRACTOR
Individual provider Active NPI Home Modifications Contractor · Lake Butler, FL
NPI 1003259136 · NPPES record last updated Apr 8, 2013
Key facts
- NPI
- 1003259136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- License
- CBC059880 (FL)
- Practice address
- 11595 NE County Road 237
Lake Butler, FL 32054-5235 - Phone
- (352) 494-2300
- NPI assigned
- Apr 8, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBC059880 | FL | MD | Home Modifications Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | CBC059880 | FL | Yes |
Addresses
Primary practice location
11595 NE County Road 237
Lake Butler, FL 32054-5235
Mailing address
11595 NE County Road 237
Lake Butler, FL 32054-5235
Phone (352) 494-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690070400 | Medicaid | FL |
Other providers in Lake Butler, FL
- Kelly Melinda Chewning
- Susan Child
- Bailey Clark
- Kelly Darlene Clark
- Lisa Cunningham
- Carolyn L Deloache
- District School Board of Union County
- Karl Hudson Dupont
- Carl P. Eason
- Marianne Utunah Eberhard
All providers in Lake Butler, FL · Home Modifications Contractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.