MEDICARE: MR. STEVEN LEE PASHEGOBA PA-C

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	363A00000X	Physician Assistant	PA9101722	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922046515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN LEE PASHEGOBA PA-C

Provider Business Mailing Address
First Line	:	12479 TELECOM DR
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0913
Country	:	US
Telephone Number	:	813-972-4199
Fax Number	:	813-972-5753

Provider Business Practice Location Address
First Line	:	1395 S PINELLAS AVE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-3790
Country	:	US
Telephone Number	:	727-942-5000
Fax Number	:

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	12/05/2013

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