# CARLOS B PAGAN MD

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

## Provider details

- **NPI number:** 1235527706
- **Authorized official:** DR. CARLOS BENJAMIN PAGAN M.D. (PHYSICIAN)
- **Authorized official phone:** (813) 933-7805

## Contact information

- **Practice address:** 3677 W WATERS AVE, TAMPA, FL 33614-2783
- **Practice address phone:** (813) 933-7805
- **Practice address fax:** (813) 935-3564
- **Mailing address:** 3677 W WATERS AVE, TAMPA, FL 33614-2783
- **Mailing address phone:** (813) 933-7805
- **Mailing address fax:** (813) 935-3564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 0044040 | FL | Yes |

## Other

- **Enumeration date:** 01/06/2015
- **Last updated:** 01/06/2015