| Doc Pam, Pa | |
|
201 N Lakemont Ave Suite 200 Winter Park FL 32792-3228 | |
| (321) 203-4410 | |
| (321) 203-4409 |
| Full Name | Doc Pam, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 N Lakemont Ave, Winter Park, Florida |
| Authorized Official Name and Position | Pamela Christine Trout (PRESIDENT) |
| Authorized Official Contact | 3216622043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Pam, Pa 1719 Loch Berry Rd Winter Park FL 32789-5221 Ph: (321) 662-2043 | Doc Pam, Pa 201 N Lakemont Ave Suite 200 Winter Park FL 32792-3228 Ph: (321) 203-4410 |
| NPI Number | 1295106334 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295106334 | NPI | - | NPPES |
| 274282900 | Medicaid | FL | |
| ME94271 | Other | FL | FLORIDA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME94271 (Florida) | Primary |
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