Healthcare Provider Details

I. General information

NPI: 1003038555
Provider Name (Legal Business Name): DAVID PASCOE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1981 CAPITAL CIR NE
TALLAHASSEE FL
32308-4421
US

IV. Provider business mailing address

1981 CAPITAL CIR NE
TALLAHASSEE FL
32308-4421
US

V. Phone/Fax

Practice location:
  • Phone: 850-402-9444
  • Fax: 850-402-0188
Mailing address:
  • Phone: 850-402-9444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME101486
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: