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Individual

ALBERTO PACHECO GARRIDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
7901 4TH ST N STE 205, ST PETERSBURG, FL 33702-4300
(602) 907-1301
Mailing address
8410 W THOMAS RD STE 1388410W, PHOENIX, AZ 85037-3329
(602) 907-1301
(602) 907-1301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139169
ZZ
207Q00000X
Family Medicine Physician
139169
207R00000X
Internal Medicine Physician
139169
ZZ
207R00000X
Internal Medicine Physician
139169
363A00000X
Physician Assistant
Primary
003000
PR
363AM0700X
Medical Physician Assistant
20230421123327
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20230421123327
ARIZONA REGISTRY OF MEDICAL ASSISTANT
AZ
Enumeration date
04/10/2025
Last updated
03/25/2026
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