MR. THEODORE ANASTASIOS PANTARIDIS PA-C NPI 1376783548

NPI Information

  • NPI: 1376783548
  • Provider Name: MR. THEODORE ANASTASIOS PANTARIDIS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5818 S DIXIE HWY
    WEST PALM BEACH, FL
    ZIP 33405
  • Phone: (561) 429-4779

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NPI Details

MR. Theodore Anastasios Pantaridis, PA-C is a medical physician assistant in West Palm Beach, FL with 20 years of experience. MR. Theodore Anastasios Pantaridis, PA-C NPI is 1376783548. 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:

5818 S DIXIE HWY
WEST PALM BEACH, FL
ZIP 33405-608
Phone: (561) 429-4779

The NPI 1376783548 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 3/2/2009 and was last updated on 12/5/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9103667FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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