Individual
PABLO MANUEL DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
PALM COAST FAMILY PRACTICE, 9 PINE CONE DRIVE, SUITE 102, PALM COAST, FL 32137
(386) 445-6191
(386) 445-3916
Mailing address
9 PINE CONE DR STE 102, PALM COAST, FL 32137-8683
(386) 445-6191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9114008
FL
Other
Enumeration date
06/05/2008
Last updated
12/19/2023
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