Organization
EP PHYSICIAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC O PANTALEON M.D. (OWNER)
(305) 822-1243
Entity
Organization
Contact information
Practice address
7761 NW 146TH ST, MIAMI LAKES, FL 33016-1559
(305) 822-1243
(305) 822-4260
Mailing address
7761 NW 146TH ST, MIAMI LAKES, FL 33016-1559
(305) 822-1243
(305) 822-4260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME006389
FL
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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