Medical Pavilion Clinc

  • 1063671683 NPI Number
  • |
  • Actived: 15 years ago
  • |
Medical Pavilion Clinc is a health care provider based in Port Charlotte, FL. The NPI Number is 1063671683 and it has been active since 15 years ago. The specialty is Preferred Provider Organization, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Preferred Provider Organization services, Medical Pavilion Clinc is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Medical Pavilion Clinc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/09/2008
  • Last updated: 06/09/2008

Primary Scrop of Practice

  • Taxonomy Code: 305R00000X
  • Specialty: Preferred Provider Organization
  • License Number: ME0044391
  • License State: FL

Provider Mailing Address

  • Address: 2525 Harbor Blvd
    Suite 102
    Port Charlotte, FL 33952
  • Phone: 941-629-9190
  • Fax: 941-625-2751

Provider Practice Location

  • Address: 2525 Harbor Blvd
    Suite 102
    Port Charlotte, FL 33952
  • Phone: 941-629-9190
  • Fax: 941-625-2751

Authorized Official

  • Name: David S Ballestas
  • Position/Title: Doctor - Owner
  • Telephone Number: 941-629-9190

Scope of Practice

  • Taxonomy Code: 305R00000X
  • Specialty: Preferred Provider Organization
  • License Number: ME0044391
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0608916500
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: FL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Medical Pavilion Clinc?
  • A: The npi number for Medical Pavilion Clinc is 1063671683.
  • Q: What are Medical Pavilion Clinc's specialties?
  • A: Medical Pavilion Clinc's specialties are Preferred Provider Organization and different specialities.
  • Q: Where is Medical Pavilion Clinc business practice location?
  • A: Medical Pavilion Clinc business practice location is 2525 Harbor Blvd, Port Charlotte, FL 33952.
  • Q: How to contact Medical Pavilion Clinc?
  • A: You can contact Medical Pavilion Clinc via 941-629-9190.
  • Q: What is the authorized official for Medical Pavilion Clinc?
  • A: The authorized office name is David S Ballestas with position/title is Doctor - Owner and you can reach the authorized official via phone number 9416299190.