Organization
KENNETH P PAGES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PAUL PAGES MD (PRESIDENT)
(813) 878-2200
Entity
Organization
Contact information
Practice address
508 S HABANA AVE, SUITE 320, TAMPA, FL 33609-4181
(813) 878-2200
(813) 878-2069
Mailing address
508 S HABANA AVE, SUITE 320, TAMPA, FL 33609-4181
(813) 878-2200
(813) 878-2069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0076178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568494482
NPI
FL
01
—
AD929
MEDICARE GROUP NUMBER
FL
Enumeration date
04/03/2007
Last updated
11/02/2007
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