Yanet Pantaleon, MD | |
400 Health Park Blvd, St Augustine, FL 32086-5784 | |
(904) 819-4363 | |
(904) 819-4927 |
Full Name | Yanet Pantaleon |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 400 Health Park Blvd, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336243955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME76212 (Florida) | Primary |
Entity Name | Pantaleon Pathology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144324757 PECOS PAC ID: 0941273825 Enrollment ID: O20040818000667 |
Mailing Address | Practice Location Address |
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Yanet Pantaleon, MD Po Box 3123, St Augustine, FL 32085-3123 Ph: () - | Yanet Pantaleon, MD 400 Health Park Blvd, St Augustine, FL 32086-5784 Ph: (904) 819-4363 |
Lin Li, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-824-4990 Fax: 904-824-2226 | |
Maressa T Pollen, Pathology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4363 | |
Dr. Ioan Corneliu Cucoranu, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 559 W Twincourt Trl Unit 604a, St Augustine, FL 32095 Phone: 904-551-9949 | |
Raghuraj Singh Raghuwanshi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 |