Healthcare Provider Details

I. General information

NPI: 1811315518
Provider Name (Legal Business Name): ANET PARGAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4683 VAN DYKE RD
LUTZ FL
33558-4880
US

IV. Provider business mailing address

4683 VAN DYKE RD
LUTZ FL
33558-4880
US

V. Phone/Fax

Practice location:
  • Phone: 813-968-7171
  • Fax: 813-443-8167
Mailing address:
  • Phone: 813-968-7171
  • Fax: 813-443-8167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME132307
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: