MEDICARE: PAMELA MAIR HLSC

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
1	1744P3200X	Prosthetics Case Management		FL

General Provider Information

NPI Number	:	1184381717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA MAIR HLSC

Provider Business Mailing Address
First Line	:	2523 SAWYER TER
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6485
Country	:	US
Telephone Number	:	613-513-1865
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 N FEDERAL HWY UNIT 208
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1018
Country	:	US
Telephone Number	:	561-351-3186
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2021
Last Update Date	:	11/18/2021

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Directions to “ PAMELA MAIR HLSC” Practice Location

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