Healthcare Provider Details

I. General information

NPI: 1790442721
Provider Name (Legal Business Name): MRS. KARLA MICHELLE PAGAN PACHECO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2021
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 SEBRING SQ
SEBRING FL
33870-1602
US

IV. Provider business mailing address

410 SEBRING SQ
SEBRING FL
33870-1602
US

V. Phone/Fax

Practice location:
  • Phone: 863-382-2229
  • Fax:
Mailing address:
  • Phone: 863-382-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number182365
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: