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General NPI Number Information
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NPI Number | 1245347004
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Entity Type | Individual
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Provider Name | PABLO MARTIN PELLA MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 6817 SOUTHPOINT PKWY STE 801
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6292
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Country | US
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Telephone | 904-646-3420
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Fax | 904-646-3017
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Provider Business Mailing Address
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Address Line | 8773 PERIMETER PARK CT
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1165
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Country | US
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Telephone | 904-493-3390
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Fax | 904-493-3395
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME64398
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License Number State | FL
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