Individual
CARMEN JUDITH PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5270 BABCOCK ST NE STE 1, PALM BAY, FL 32905
(321) 676-5996
(321) 676-5926
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME82615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100210500
—
FL
Enumeration date
03/20/2006
Last updated
08/15/2018
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