Individual
MR. ANTHONY PACHECO
Active
Individual
MR. ANTHONY PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003881800
—
FL
01
—
201095753
TAX ID
FL
01
—
PA9103334
MEDICAL LICENSE
FL
Enumeration date
09/23/2005
Last updated
11/14/2016
Update your record
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