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General NPI Number Information
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NPI Number | 1366309122
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Entity Type | Organization
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Legal Business Name | PANAM COASTAL HEALTH CARE
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 12 ARLEY WAY STE 101
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City | BLUFFTON
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State | SC
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Zip | 29910-8860
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Country | US
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Telephone | 954-865-6144
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Fax |
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Provider Business Mailing Address
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Address Line | 12 ARLEY WAY STE 101
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City | BLUFFTON
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State | SC
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Zip | 29910-8860
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Country | US
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Telephone | 954-865-6144
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN CARLOS RONDON
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Credential | MD
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Telephone | 954-865-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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