Organization
FAMILY TREE MEDICAL GROUP II, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR M PANTOJA JR. (BUISNESS OWNER)
(407) 970-2981
Entity
Organization
Contact information
Practice address
2201 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 353-1246
(863) 419-9547
Mailing address
2201 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 353-1246
(863) 419-9547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
12/14/2022
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