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Organization
PAN AMERICAN MEDICAL GROUP LLC
Active
Organization
PAN AMERICAN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS CANTU MD (MEDICAL DIRECTOR)
(407) 900-9284
Entity
Organization
Contact information
Practice address
7359 LAKE UNDERHILL RD, ORLANDO, FL 32822-6061
(407) 900-9284
(407) 203-8887
Mailing address
11217 HISTORY AVE, ORLANDO, FL 32832-5210
(956) 832-2053
(407) 203-8887
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
10/31/2024
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