Individual
DR. MICHAEL P PACIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14411 S DIXIE HWY STE 223, PALMETTO BAY, FL 33176-7900
(305) 255-4868
(305) 255-4922
Mailing address
11880 SW 40TH ST, SUITE 304, MIAMI, FL 33175-3584
(305) 223-8808
(305) 223-8974
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME19305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054370500
—
FL
01
—
71789Z
MEDICARE
FL
Enumeration date
04/10/2006
Last updated
07/21/2022
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