Individual
CARLOS ENRIQUE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8950 N KENDALL DR STE 601W, MIAMI, FL 33176-2139
(305) 271-9777
(786) 533-9518
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(305) 271-9777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109289
FL
Other
Enumeration date
11/18/2015
Last updated
02/07/2022
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