Pantaleon Pathology Associates PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PANTALEON PATHOLOGY ASSOCIATES PA

Practice address

400 Health Park Blvd
St Augustine, FL 32086-5779

Phone

(904) 819-5155

Fax

(904) 819-4927

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Yanet A Pantaleon, MD

Title

Owner

Phone

(904) 819-5155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1144324757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865779",
            "telephone_number": "904-819-5155",
            "fax_number": "904-819-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTALEON PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "PANTALEON",
        "authorized_official_first_name": "YANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-819-5155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeri' Pandak, EI
• Jinal Pandya, PT
• Neha Mehul Pandya, DMD
• Gabriel Evan Sebastian Panebianco Huffman
• Daniela Treatment Panet Raymond
• Yanet Pantaleon, MD
• Paper Crane Wellness Services LLC
• Monica Parco, MSN, FNP-C
• Daniel Paredes, DPT
• Parent Psych LLC

• Anatomic Pathology & Clinical Pathology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.