Pagan, Jose Antonio

Pagan, Jose Antonio is an individual health care provider with primary practice located at 2595 Tampa Rd Ste G , Palm Harbor FL 34684-3130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Pagan, Jose Antonio can be contacted via phone (727) 781-3448.

Contact Information

Primary practice address
2595 Tampa Rd Ste G Palm Harbor FL 34684-3130
Fax: (866) 777-2195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0040616 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME0040616 Florida

Profile Details

NPI number 1598850521
LBN Legal business name Pagan, Jose Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 10th, 2017 - about 7 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 1598850521 NPPES
Florida Other 260609255 GROUP TAX ID
Florida Other 001553500 GROUP TAX ID
Florida MEDICAID 067804000 GROUP TAX ID
Florida Other 1386823243 GROUP TAX ID
Florida Other BC538G GROUP TAX ID
Florida Other BC538A GROUP TAX ID

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