Organization
PAN AMERICAN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS CANTU MD (MEDICAL DIRECTOR)
(407) 900-9284
Entity
Organization
Contact information
Practice address
7359 LAKE UNDERHILL RD, ORLANDO, FL 32822-6061
(407) 900-9284
(407) 203-8887
Mailing address
11217 HISTORY AVE, ORLANDO, FL 32832-5210
(956) 832-2053
(407) 203-8887
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
10/31/2024
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