PABLO MANUEL DEJESUS PHYSICIAN ASSISTANT NPI 1013176031

NPI Information

Pablo Manuel Dejesus, PHYSICIAN ASSISTANT is a medical physician assistant in Palm Coast, FL with 16 years of experience. Pablo Manuel Dejesus, PHYSICIAN ASSISTANT NPI is 1013176031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PALM COAST FAMILY PRACTICE
9 PINE CONE DRIVE, SUITE 102
PALM COAST, FL
ZIP 32137
Phone: (386) 445-6191
Fax: (386) 445-3916

The NPI 1013176031 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.