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NPI Code Detail

MEDICARE: DR. ELMER JESUS PACHECO MD

MEDICARE: DR. ELMER JESUS PACHECO 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 Physician01058316AIN
2207R00000XInternal Medicine PhysicianME 129248FL

General Provider Information

NPI Number : 1407844921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELMER JESUS PACHECO MD
Provider Business Mailing Address
First Line : 8600 HIDDEN RIVER PKWY STE 75
Second Line :
City : TAMPA
State : FL
Zip : 33637-1113
Country : US
Telephone Number : 813-517-0137
Fax Number :
Provider Business Practice Location Address
First Line : 8600 HIDDEN RIVER PKWY STE 75
Second Line :
City : TAMPA
State : FL
Zip : 33637
Country : US
Telephone Number : 813-517-0137
Fax Number : 877-396-5962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 11/13/2018

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Directions to “ DR. ELMER JESUS PACHECO MD” Practice Location

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