MEDICARE: JARY PANDO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	ME94774	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68030	OTHER		BCBS FL

General Provider Information

NPI Number	:	1194822353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARY PANDO MD

Provider Business Mailing Address
First Line	:	8660 W FLAGLER ST
Second Line	:	SUITE #200
City	:	MIAMI
State	:	FL
Zip	:	33144-2031
Country	:	US
Telephone Number	:	305-227-5176
Fax Number	:	305-554-4828

Provider Business Practice Location Address
First Line	:	13001 SW 88TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1708
Country	:	US
Telephone Number	:	305-227-5176
Fax Number	:	305-554-4828

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/15/2008

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Directions to “ JARY PANDO MD” Practice Location

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