Pacheco, Anthony

Pacheco, Anthony is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Pacheco, Anthony can be contacted via phone (407) 650-1300.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Phone: (407) 650-1300
Fax: (407) 650-1307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103334 Florida

Profile Details

NPI number 1164418299
LBN Legal business name Pacheco, Anthony
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Nov 14th, 2016 - about 10 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 1164418299 NPPES
Florida Other 201095753 TAX ID
Florida MEDICAID 003881800 TAX ID
Florida Other PA9103334 TAX ID

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