Active NPI
Hector Serafin Pabon, M.D.
- Pediatric Critical Care Medicine Physician
- Brandon, FL
National Provider Identifier
1720177967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME0054680
- Practice address
- 119 Oakfield Dr
Brandon Hospital
Brandon, FL 33511 - Phone
- (352) 333-7703
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME0054680 | FL | Primary |
Addresses
Primary practice location
119 Oakfield Dr
Brandon Hospital
Brandon, FL 33511
Mailing address
119 NW 114TH Way
Gainesville, FL 32607-1122
Phone (352) 333-7703
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372479400 | Medicaid | FL | |
| 18790 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0054680 | FL | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1720177967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 NW 114TH WAY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326071122",
"telephone_number": "352-333-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"address_2": "BRANDON HOSPITAL",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "352-333-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON",
"first_name": "HECTOR",
"middle_name": "SERAFIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME0054680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372479400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "18790",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.