# COOLEY GEORGE PANTAZIS, MD PA

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

## Provider details

- **NPI number:** 1952073041
- **Authorized official:** COOLEY G PANTAZIS (OWNER)
- **Authorized official phone:** (800) 831-2402

## Contact information

- **Practice address:** 6006 SE ABSHIER BLVD, BELLEVIEW, FL 34420-4317
- **Practice address phone:** (352) 368-3443
- **Mailing address:** PO BOX 743170, ATLANTA, GA 30374-3170

## 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:** 09/28/2021
- **Last updated:** 09/28/2021