Dejesus, Pablo Manuel

Dejesus, Pablo Manuel is an individual health care provider with primary practice located at Palm Coast Family Practice 9 Pine Cone Drive, Suite 102, Palm Coast FL 32137. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dejesus, Pablo Manuel can be contacted via phone (386) 445-6191.

Contact Information

Primary practice address
Palm Coast Family Practice 9 Pine Cone Drive, Suite 102 Palm Coast FL 32137
Phone: (386) 445-6191
Fax: (386) 445-3916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9114008 Florida

Profile Details

NPI number 1013176031
LBN Legal business name Dejesus, Pablo Manuel
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Dec 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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