Pagan Pallens, Jennifer

Pagan Pallens, Jennifer is an individual health care provider with primary practice located at 1350 Hickory St Ste 101 , Melbourne FL 32901-3224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Pagan Pallens, Jennifer can be contacted via phone (321) 361-5546.

Contact Information

Primary practice address
1350 Hickory St Ste 101 Melbourne FL 32901-3224
Phone: (321) 361-5546
Fax: (321) 676-6434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME132704 Florida

Profile Details

NPI number 1548703028
LBN Legal business name Pagan Pallens, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2016
Last updated Oct 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548703028 NPPES
Florida MEDICAID 102869500
Florida Other LH773

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