# CARMONA PATHOLOGY ASSOCIATES PA

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

## Provider details

- **NPI number:** 1669669214
- **Authorized official:** PEDRO CARMONA MD (PRESIDENT)
- **Authorized official phone:** (321) 268-6111

## Contact information

- **Practice address:** 951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
- **Practice address phone:** (321) 268-6111
- **Practice address fax:** (321) 268-6149
- **Mailing address:** 3450 BUSCHWOOD PARK DR, SUITE 150, TAMPA, FL 33618-4465
- **Mailing address phone:** (813) 935-8501
- **Mailing address fax:** (813) 935-8541

## 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:** 09/27/2007
- **Last updated:** 09/27/2019