Santelices, Pamela G

Santelices, Pamela G is an individual health care provider with primary practice located at 1859 Sw Newland Way , Lake City FL 32025-6966. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Santelices, Pamela G can be contacted via phone (386) 758-0003.

Contact Information

Primary practice address
1859 Sw Newland Way Lake City FL 32025-6966
Phone: (386) 758-0003
Fax: (386) 755-7940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME80098 Florida

Profile Details

NPI number 1609836683
LBN Legal business name Santelices, Pamela G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 12th, 2016 - about 9 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 1609836683 NPPES
Florida Other 58641 BCBS
Florida MEDICAID 259783700 BCBS
Florida Other 275981 BCBS

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