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General NPI Number Information
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NPI Number | 1851163778
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Entity Type | Organization
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Legal Business Name | PACE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 6631 ORION DR STE 110
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City | FORT MYERS
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State | FL
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Zip | 33912-4333
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Country | US
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Telephone | 239-268-4948
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Fax | 239-255-5980
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Provider Business Mailing Address
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Address Line | 820 FESSLERS PKWY STE 315
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City | NASHVILLE
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State | TN
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Zip | 37210-2938
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Country | US
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Telephone | 615-214-3777
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THEODORE MACDONALD
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Credential |
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Telephone | 615-214-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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