Healthcare Provider Details

I. General information

NPI: 1336408673
Provider Name (Legal Business Name): PABLO ALMUNA FERNANDEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 03/07/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7960 SW 60TH AVE
OCALA FL
34476-6408
US

IV. Provider business mailing address

7960 SW 60TH AVE
OCALA FL
34476-6408
US

V. Phone/Fax

Practice location:
  • Phone: 352-671-6741
  • Fax: 352-671-6742
Mailing address:
  • Phone: 352-671-6741
  • Fax: 352-671-6742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME119346
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: