Individual
DR. JOSE A PARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E HIGHLAND AVE STE 1, CLERMONT, FL 34711-2582
(352) 432-8989
(844) 388-6186
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(800) 480-5243
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
11522
PR
208D00000X
General Practice Physician
Primary
ME135563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21074
TRIPLE S
PR
01
—
DP418Z
MEDICARE PTAN
PR
Enumeration date
05/18/2007
Last updated
11/03/2022
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