| Mark J. Pamer, D.o., L.l.c. | |
|
573 Ne Lake Whitney Place Ste 105 Port Saint Lucie FL 34986 | |
| (772) 785-5864 | |
| (772) 344-2555 |
| Full Name | Mark J. Pamer, D.o., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 573 Ne Lake Whitney Place, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Mark J Pamer (MANAGER) |
| Authorized Official Contact | 7727855864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J. Pamer, D.o., L.l.c. 573 Nw Lake Whitney Pl Ste 105 Port Saint Lucie FL 34986-1628 Ph: (772) 785-5864 | Mark J. Pamer, D.o., L.l.c. 573 Ne Lake Whitney Place Ste 105 Port Saint Lucie FL 34986 Ph: (772) 785-5864 |
| NPI Number | 1679716690 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 2062558612 |
|---|---|
| Medicare Enrollment ID | O20091013000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679716690 | NPI | - | NPPES |
| Provider Name | Mark Jon Pamer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184824542 PECOS PAC ID: 3971649526 Enrollment ID: I20091013000043 |
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