Individual
DR. PABLO MARTIN PELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 801, JACKSONVILLE, FL 32216-6292
(904) 646-3420
(904) 646-3017
Mailing address
8773 PERIMETER PARK CT, JACKSONVILLE, FL 32216-1165
(904) 493-3390
(904) 493-3395
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME64398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111508-00
MEDICAID - GROUP
FL
01
—
219953
AVMED
FL
05
—
250465100
—
FL
01
—
25066
WELLCARE
FL
01
—
74509
FLORIDA BLUE - GROUP
FL
01
—
K2410
MEDICARE - GROUP
FL
Enumeration date
08/25/2006
Last updated
04/26/2024
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