Individual
COOLEY G PANTAZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SW 1ST ST, OCALA, FL 34471-6504
(352) 351-7262
(352) 402-5047
Mailing address
PO BOX 63069, CHARLESTON, SC 29419-3069
(352) 351-7263
(352) 622-3672
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
ME75579
FL
207ZC0500X
Cytopathology Physician
ME75579
FL
207ZH0000X
Hematology (Pathology) Physician
ME75579
FL
207ZI0100X
Immunopathology Physician
ME75579
FL
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
ME75579
FL
207ZP0101X
Anatomic Pathology Physician
ME75579
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
022259
GA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME75579
FL
Other
Enumeration date
03/07/2006
Last updated
08/06/2010
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