# PAN AMERICAN MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1356866354
- **Authorized official:** DR. JUAN CARLOS CANTU MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (407) 900-9284

## Contact information

- **Practice address:** 7359 LAKE UNDERHILL RD, ORLANDO, FL 32822-6061
- **Practice address phone:** (407) 900-9284
- **Practice address fax:** (407) 203-8887
- **Mailing address:** 11217 HISTORY AVE, ORLANDO, FL 32832-5210
- **Mailing address phone:** (956) 832-2053
- **Mailing address fax:** (407) 203-8887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2017
- **Last updated:** 10/31/2024