person
Mr. Anthony Pacheco, PA
Medical Physician Assistant in Orlando, Florida
NPI 1164418299

Anthony Pacheco is a Medical Physician Assistant based in Orlando, FL and is specialized in Medical. Anthony Pacheco practices in Orlando, FL and has the professional credentials of PA. The NPI Number for Anthony Pacheco is 1164418299 and holds a License No. PA9103334 (Florida).

The current practice location address for Anthony Pacheco is 1222 S Orange Ave, Orlando, FL and can be reached out via phone at 407-650-1300 and via fax at 407-650-1307.

Location: 1222 S Orange Ave, Orlando, FL, 32806-1215
person
Provider Profile Details
NPI Number
1164418299
Provider Name
Anthony Pacheco
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1222 S Orange Ave, Orlando, FL, 32806-1215
Phone Number
407-650-1300
Fax Number
407-650-1307
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201095753 01 FL TAX ID
003881800 05 FL
PA9103334 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1222 S Orange Ave
City
State
Zip
32806-1215
Phone Number
407-650-1300
Fax Number
407-650-1307
person
Provider Business Mailing Address Details
Address
1222 S Orange Ave
City
State
Zip
32806-1215
Phone Number
407-650-1300
Fax Number
407-650-1307
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9103334 (Florida)
Definition
Definition to come...
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