Organization
COOLEY GEORGE PANTAZIS, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COOLEY G PANTAZIS (OWNER)
(800) 831-2402
Entity
Organization
Contact information
Practice address
6006 SE ABSHIER BLVD, BELLEVIEW, FL 34420-4317
(352) 368-3443
Mailing address
PO BOX 743170, ATLANTA, GA 30374-3170
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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