PATRICK LEE DELAGE

GAINESVILLE, FL
NPI1659996361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9113315)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-06-09
Last Update Date2020-08-19
Business Address
PATRICK LEE DELAGE PA
1600 SW ARCHER RD
GAINESVILLE, FL 32610-4615
Phone number: 352-265-5911
Mailing Address
PATRICK LEE DELAGE PA
2115 NE 12TH AVE
GAINESVILLE, FL 32641-4615
Phone number: 520-869-9718