# HOMER A PASCHALL MD PA

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

## Provider details

- **NPI number:** 1659541548
- **Authorized official:** DR. HOMER ALVIN PASCHALL M.D. (PRESIDENT)
- **Authorized official phone:** 3863863281477

## Contact information

- **Practice address:** 310 S PALM AVE STE 3, PALATKA, FL 32177-4161
- **Practice address phone:** (386) 328-1476
- **Practice address fax:** (386) 328-9604
- **Mailing address:** PO BOX 1007, PALATKA, FL 32178-1007
- **Mailing address phone:** (386) 328-1476
- **Mailing address fax:** (386) 328-9604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 06/03/2010