Patrick Graham
Contractor in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1114847191
StatusActive
Last updated in NPPESJul 20, 2026
Details
- NPI
- 1114847191
- Entity type
- Individual (NPI-1)
- Name
- Patrick Graham
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2026
- Certification date
- Jul 19, 2026
- Last updated
- Jul 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | FL | Yes |
Practice location
1314 E Las Olas Blvd # 2658Fort Lauderdale, FL 33301-2334
Phone 786-938-9372
Mailing address
Po Box 551606Opa Locka, FL 33055-0606
Phone 786-938-9372
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