Pacanowska-Assefa, Irena Maria

Pacanowska-Assefa, Irena Maria is an individual health care provider with primary practice located at 700 Zeagler Drive Suite 10, Palatka FL 32177-3860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pacanowska-Assefa, Irena Maria can be contacted via phone (386) 328-6746.

Contact Information

Primary practice address
700 Zeagler Drive Suite 10 Palatka FL 32177-3860
Phone: (386) 328-6746
Fax: (386) 328-7554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0067444 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME67444 Florida

Profile Details

NPI number 1932171337
LBN Legal business name Pacanowska-Assefa, Irena Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Nov 1st, 2022 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1932171337 NPPES
Florida MEDICAID 109579200
Florida MEDICAID 372143400
Florida MEDICAID 376985200
Florida MEDICAID 372143401

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