Individual
DR. PAMELA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17000 PORTER RD STE 208, WINTER GARDEN, FL 34787-8915
(407) 635-3013
(407) 636-7844
Mailing address
17000 PORTER RD STE 208, WINTER GARDEN, FL 34787-8915
(407) 635-3013
(407) 636-7844
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME10845
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN12942
FL
Other
Enumeration date
10/02/2008
Last updated
09/20/2019
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