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MR. JACOB TYLER PATRICK
NPI 1821522822
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since April 17, 2017
17 DAVIS BLVD STE 308, TAMPA, FL 33606(813) 974-2201 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jacob Tyler Patrick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACOB TYLER PATRICK (NPI 1821522822) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since April 2017. He maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1821522822
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JACOB TYLER PATRICK
Location Address17 DAVIS BLVD STE 308Tampa, FL 33606-3438
Mailing Address500 South Preston Street, Room 305Louisville, KY 40202 · (502) 852-8696
Phone(813) 974-2201
Sole ProprietorNo
Enumeration DateApril 17, 2017
Last NPPES UpdateMarch 25, 2019
✔ NPI 1821522822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17 DAVIS BLVD STE 308, Tampa, FL 33606
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Secondary Practice Location 1

Location 1500 South Preston Street, Room 305Louisville, KY 40202 · Phone (502) 852-8696

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISOL GOMEZ MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (727) 462-7000
DR. SARA KHAN MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2202
PETER BRANDON DOMINGUEZ MD
Emergency Medicine
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
NICHOLAS BRENNAN WAGNER MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201
JACOB ALEXANDER KALIN DO
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
MICHAEL BRANDON CISNEROS MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201
DR. SANTIAGO BEJARANO HERNANDEZ MD, MPH
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
LIDIA ODALIS LOPEZ
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Patrick's NPI number?

The NPI number for Jacob Patrick is 1821522822. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Jacob Patrick located?

Jacob Patrick practices at 17 Davis Blvd Ste 308, Tampa, FL 33606. The listed phone number is (813) 974-2201.

What is Jacob Patrick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Patrick was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.