Organization
CARMONA PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO CARMONA MD (PRESIDENT)
(321) 268-6111
Entity
Organization
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6111
(321) 268-6149
Mailing address
3450 BUSCHWOOD PARK DR, SUITE 150, TAMPA, FL 33618-4465
(813) 935-8501
(813) 935-8541
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056300500
—
FL
Enumeration date
09/27/2007
Last updated
09/27/2019
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