Patrick Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10248 Issued in FL

Legal business name

PATRICK MANOR

Practice address

896 73Rd Ave N
St Petersburg, FL 33702-5220

Phone

(727) 521-1843

Fax

(727) 521-1100

NPI assigned

Nov 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Putnam

Title

Owner

Phone

(727) 521-1843

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1578992392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 73RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025220",
            "telephone_number": "727-521-1843",
            "fax_number": "727-521-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 73RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025220",
            "telephone_number": "727-521-1843",
            "fax_number": "727-521-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-521-1843"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abhitabh Patil, M.D.
• Brittney Patillo, CNA
• Pamela M Patranella, MD
• Patricia S Dixon-PSYD
• Patrick a Carrier Mdpa
• Elizabeth Patterson, MHC
• Jebhar Patterson
• Mary Eloise Patterson, PA-C
• Megan Patterson
• Paul E Fisher Jr OD PA

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.