Individual
DR. JOSE CASSINI PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912-4705
(239) 936-2316
(239) 936-3099
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 931-6365
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
L8874
TX
2085R0202X
Diagnostic Radiology Physician
Primary
ME85843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280800500
—
FL
Enumeration date
07/26/2006
Last updated
01/09/2024
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