MEDICARE: DR. PAMELA A PADILLA M.D.

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	207VG0400X	Gynecology Physician	ME0037398	FL

General Provider Information

NPI Number	:	1972506319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA A PADILLA M.D.

Provider Business Mailing Address
First Line	:	2502 W SAINT ISABEL ST
Second Line	:	STE B
City	:	TAMPA
State	:	FL
Zip	:	33607-6355
Country	:	US
Telephone Number	:	813-873-7106
Fax Number	:	813-348-0074

Provider Business Practice Location Address
First Line	:	2502 W SAINT ISABEL ST
Second Line	:	STE B
City	:	TAMPA
State	:	FL
Zip	:	33607-6355
Country	:	US
Telephone Number	:	813-873-7106
Fax Number	:	813-348-0074

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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