Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Patrick Edward Tolan III, PA-C

Individual provider Physician Assistant · NPI 1962985416

Mr. Patrick Edward Tolan III, PA-C is a Physician Assistant in Orlando, Florida. Qualified in 2018, 8 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9368 Narcoossee Rd Ste 104
Orlando, FL 32827-5704
Phone: (866) 400-3376
Fax: (407) 650-3455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111562 (FL)

Record details

NPI number1962985416
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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