MEDICARE: SHLOMO PASCAL MD PA

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1861681694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHLOMO PASCAL MD PA

Provider Business Mailing Address
First Line	:	1711 NW 123 AVENUE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3824
Country	:	US
Telephone Number	:	954-436-0136
Fax Number	:	954-447-9245

Provider Business Practice Location Address
First Line	:	1711 NW 123 AVENUE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3824
Country	:	US
Telephone Number	:	954-436-0136
Fax Number	:	954-447-9245

Authorized Official
Title or Position	:	OWNER
Name	:	SHLOMO PASCAL
Credential	:	MD.
Telephone Number	:	954-436-0136

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	03/14/2008

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