Individual
JENNIFER PANTALEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5801 ARGERIAN DR, #103, WESLEY CHAPEL, FL 33545-4140
(813) 991-4991
Mailing address
16601 PALM COAST CT, APT 633, TAMPA, FL 33647-2693
(727) 251-9786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9107892
FL
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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