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NPI Code Detail

MEDICARE: PAMELA NICOLE MASSIE OD

MEDICARE: PAMELA NICOLE MASSIE OD
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
1156FX1800XOptician7755FL

General Provider Information

NPI Number : 1649082322
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA NICOLE MASSIE OD
Provider Business Mailing Address
First Line : 9505 49TH ST N APT 2-330
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33782-5292
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10237 BAY PINES BLVD
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33708-3131
Country : US
Telephone Number : 727-202-3812
Fax Number : 727-392-2358
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2025
Last Update Date : 01/21/2025

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Directions to “ PAMELA NICOLE MASSIE OD” Practice Location

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