Individual provider · Type 1 NPI
Pablo Manuel Dejesus, PHYSICIAN ASSISTANT
Medical Physician Assistant · Palm Coast, FL
NPI number
1013176031
Active
Practice location
Palm Coast Family Practice, 9 Pine Cone Drive, Suite 102
Palm Coast, FL 32137
Fax (386) 445-3916
Mailing address
9 Pine Cone Dr Ste 102
Palm Coast, FL 32137-8683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9114008 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1013176031
Pablo Manuel Dejesus, PHYSICIAN ASSISTANT's National Provider Identifier is 1013176031, issued on Jun 5, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Palm Coast, FL. The record was last updated on Dec 19, 2023.