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Individual

JOHN PANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1905 CLINT MOORE RD #212, BOCA RATON, FL 33496
(561) 989-9070
(561) 989-0255
Mailing address
1905 CLINT MOORE RD #212, JOHN PANOS MD, BOCA RATON, FL 33496
(561) 989-9040
(561) 989-0255

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
85030
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265762700
FL
Enumeration date
07/05/2006
Last updated
06/18/2010
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