Individual
DR. FE V.S.J. PANCITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1430 S PINE ST, MELBOURNE, FL 32901-3119
(321) 952-0898
Mailing address
PO BOX 534595, ATLANTA, GA 30353-4595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0035608
FL
2085R0001X
Radiation Oncology Physician
Primary
ME35608
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038452600
—
FL
01
—
920001008
RR MEDICARE
FL
Enumeration date
06/23/2005
Last updated
06/03/2015
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