Organization
CARLOS B PAGAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS BENJAMIN PAGAN M.D. (PHYSICIAN)
(813) 933-7805
Entity
Organization
Contact information
Practice address
3677 W WATERS AVE, TAMPA, FL 33614-2783
(813) 933-7805
(813) 935-3564
Mailing address
3677 W WATERS AVE, TAMPA, FL 33614-2783
(813) 933-7805
(813) 935-3564
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0044040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00540
BC&BS
FL
Enumeration date
01/06/2015
Last updated
01/06/2015
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