# PANTALEON PATHOLOGY ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144324757
- **Authorized official:** YANET A PANTALEON MD (OWNER)
- **Authorized official phone:** (904) 819-5155

## Contact information

- **Practice address:** 400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5779
- **Practice address phone:** (904) 819-5155
- **Practice address fax:** (904) 819-4927
- **Mailing address:** PO BOX 3123, ST AUGUSTINE, FL 32085-3123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/05/2020