Individual
MATTHEW PASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FP-C, CCP-C, PM
Contact information
Practice address
2409 SE PASCAL AVE, PORT SAINT LUCIE, FL 34952-6760
(561) 758-8867
Mailing address
2409 SE PASCAL AVE, PORT SAINT LUCIE, FL 34952-6760
(561) 758-8867
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
540034
FL
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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