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Organization

PAM PHYSICIAN ENTERPRISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization

Contact information

Practice address
1730 MAYO DR, TAVARES, FL 32778-4308
(352) 525-3001
Mailing address
1828 GOOD HOPE RD STE 102, ATTN LEGAL DEPT, ENOLA, PA 17025-1203
(717) 731-9660

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
10/09/2025
Last updated
10/09/2025
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