Organization
PABLO M PELLA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY C. LU (CREDENTIALING COORDINATOR)
(904) 221-2535
Entity
Organization
Contact information
Practice address
11555 CENTRAL PKWY STE 201, JACKSONVILLE, FL 32224-2693
(904) 646-3420
(904) 646-3017
Mailing address
11555 CENTRAL PKWY STE 201, JACKSONVILLE, FL 32224-2693
(904) 646-3420
(904) 646-3017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0064398
FL
Other
Enumeration date
09/25/2007
Last updated
02/28/2014
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