| Pasha Crown Llc | |
|
1420 Celebration Blvd Ste 314 Kissimmee FL 34747-5161 | |
| (407) 922-2421 | |
| (321) 939-4069 |
| Full Name | Pasha Crown Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1420 Celebration Blvd Ste 314, Kissimmee, Florida |
| Authorized Official Name and Position | Arash Pasha (MD/OWNER) |
| Authorized Official Contact | 4079222421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasha Crown Llc 1420 Celebration Blvd Ste 314 Kissimmee FL 34747-5161 Ph: (407) 922-2421 | Pasha Crown Llc 1420 Celebration Blvd Ste 314 Kissimmee FL 34747-5161 Ph: (407) 922-2421 |
| NPI Number | 1760043186 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 03/17/2020 |
| Medicare PECOS PAC ID | 6103254560 |
|---|---|
| Medicare Enrollment ID | O20200318000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760043186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arash G Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780828095 PECOS PAC ID: 2365698008 Enrollment ID: I20140823000036 |
| Provider Name | Jean C Torres Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184252447 PECOS PAC ID: 6507277548 Enrollment ID: I20201124001762 |
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