Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME104244 | FL |
NPI | 1013180611 |
---|---|
Provider Name | Dr. Patrick R. Sonser |
First Address | Rockledge, FL 32955-4306 |
Second Address | Cocoa Beach, FL 32931-3577 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2008 |
Last Update Date | 18/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000883200 | (05) | FL |
BU382Y | MEDICARE (01) | FL |