ENRIQUE JOSE PACHECO SUMOZA M.D. NPI 1649666983

NPI Information

Enrique Jose Pacheco Sumoza, M.D. is a student in an organized health care education training program in Tampa, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Enrique Jose Pacheco Sumoza, M.D. NPI is 1649666983. 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:

17 DAVIS BLVD STE 308
TAMPA, FL
ZIP 33606-438
Phone: (813) 974-2201

The NPI 1649666983 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 4/14/2015 and was last updated on 7/3/2021.

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:

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