MEDICARE: PAN AMERICAN MEDICAL ASSOCIATES

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1730377680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAN AMERICAN MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	5537 GULF DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4021
Country	:	US
Telephone Number	:	727-845-0299
Fax Number	:	727-847-7703

Provider Business Practice Location Address
First Line	:	5537 GULF DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4021
Country	:	US
Telephone Number	:	727-845-0299
Fax Number	:	727-847-7703

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LUIS M GUERRA
Credential	:	M.D.
Telephone Number	:	727-845-0299

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/04/2007

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Directions to “PAN AMERICAN MEDICAL ASSOCIATES ” Practice Location

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