Mary Pavan
MD | Pediatrics | Female
Mary Pavan, MD is a Tampa, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mary Pavan is
12901 Bruce B Downs Blvd, Tampa, Florida - 33612-4742. She can be contacted on phone at
813-974-2201.
Mary Pavan is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Pavan is
1235149568 which was assigned by NPPES on 09 Aug, 2006 and it was last updated on 17 Dec, 2009.
Mary Pavan license number is
ME39075 for Pediatrics (208000000X) in Florida.
Mary Pavan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Pavan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Pavan |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mary Pavan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12901 Bruce B Downs Blvd
Tampa, FL, 33612-4742
United States |
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| Phone Number : | 813-974-2201 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235149568 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Aug, 2006 |
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| Last Updated On : | 17 Dec, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Pavan are as mentioned. Primary taxonomy code for Mary Pavan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME39075 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Mary Pavan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 62620 | Other | FL | BLUE CROSS BLUE SHIELD |
| 066386700 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 917770
Orlando, FL, 32891-7770
United States |
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Business Location:
Patients can refer following map for directions to
Mary Pavan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.