Bernard L Pacella Jr MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BERNARD L PACELLA JR MD PA

Practice address

200 Mission Rd
Ste 100-101
Palatka, FL 32177-2618

Phone

(386) 385-3614

Fax

(386) 385-3874

NPI assigned

Dec 29, 2009

Last updated

Dec 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bernard L Pacella Jr., MD

Title

Owner

Phone

(386) 385-3614

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1063742989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MISSION RD",
            "address_2": "STE 100-101",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772618",
            "telephone_number": "386-385-3614",
            "fax_number": "386-385-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MISSION RD",
            "address_2": "STE 100-101",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772618",
            "telephone_number": "386-385-3614",
            "fax_number": "386-385-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD L PACELLA JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "PACELLA",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-385-3614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Palatka, FL
• Providers in Palatka, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.