Individual
CARLOS JAVIER PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 S PARSONS AVE, BRANDON, FL 33511-6063
(813) 685-4553
(813) 681-1191
Mailing address
4033 TAMPA RD STE 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 855-2367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME139856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103785600
—
FL
Enumeration date
04/11/2016
Last updated
12/03/2019
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