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Organization
PANTALEON PATHOLOGY ASSOCIATES PA
Active
Organization
PANTALEON PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET A PANTALEON MD (OWNER)
(904) 819-5155
Entity
Organization
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5779
(904) 819-5155
(904) 819-4927
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
08/05/2020
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