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NPI Code Detail

MEDICARE: DR. JULIO MERREL PAGAN MD

MEDICARE: DR. JULIO MERREL PAGAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME48257FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033103635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIO MERREL PAGAN MD
Provider Business Mailing Address
First Line : 805 CENTURY MEDICAL DR
Second Line : SUITE C
City : TITUSVILLE
State : FL
Zip : 32796-2100
Country : US
Telephone Number : 321-268-6264
Fax Number : 321-636-9018
Provider Business Practice Location Address
First Line : 5005 PORT ST JOHN PKWY STE 2400
Second Line : PARRISH MEDICAL GROUP
City : PORT ST JOHN
State : FL
Zip : 32927-4305
Country : US
Telephone Number : 321-636-0781
Fax Number : 321-636-9018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 05/08/2015

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