Individual
ERIC O PANTALEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3107 W HALLANDALE BEACH BLVD STE 102, HALLANDALE, FL 33009-5144
(786) 638-4747
(954) 367-3763
Mailing address
3107 W HALLANDALE BEACH BLVD STE 102, HALLANDALE, FL 33009-5144
(786) 638-4747
(954) 367-3763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME006389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518997964
NPI
FL
01
—
ME0063889
STATE MEDICAL LICENSE
FL
Enumeration date
07/03/2006
Last updated
06/22/2022
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