Pam Physician Enterprise

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PAM PHYSICIAN ENTERPRISE

Practice address

1730 Mayo Dr
Tavares, FL 32778-4308

Phone

(352) 525-3001

NPI assigned

Oct 9, 2025

Last updated

Oct 9, 2025By 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

Anthony Misitano

Title

President

Phone

(717) 731-9660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1962856161

  O20220709000282

  Same enrollment

Tax ID family

Pam Physician Enterprise9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Milford, DE
  • NPI 1104712959
  NPD tax ID
• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Golden, CO
  • NPI 1275338501
  NPD tax ID
• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Lafayette, CO
  • NPI 1417753740
  NPD tax ID
• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Westminster, CO
  • NPI 1437955762
  NPD tax ID
• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Golden, CO
  • NPI 1568267888
  NPD tax ID
• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Georgetown, DE
  • NPI 1578459301
  NPD tax ID
• Pam Physician Enterprise

  • Psychiatry Physician
  • Sugar Land, TX
  • NPI 1740167790
  NPD tax ID
• Vibra Physicians LLC

  • Hospitalist Physician
  • Johnstown, CO
  • NPI 1659705424
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Gavrielle Rivera, PA-C

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1255931473
  NPD
• Maksim Shmargun, MD

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
  • NPI 1235690652

  Hospitalist

  NPD (past)

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1962377929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD STE 102",
            "address_2": "ATTN LEGAL DEPT",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251203",
            "telephone_number": "717-731-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784308",
            "telephone_number": "352-525-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5075 Innovation Way",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334586101",
            "country_code": "US",
            "telephone_number": "561-935-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Richard St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322077328",
            "country_code": "US",
            "telephone_number": "904-425-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2639 Curry Ln",
            "address_purpose": "LOCATION",
            "city": "Nokomis",
            "state": "FL",
            "postal_code": "342754903",
            "country_code": "US",
            "telephone_number": "941-244-5089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Edgelake Dr",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342408803",
            "country_code": "US",
            "telephone_number": "941-342-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAM PHYSICIAN ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "MISITANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-731-9660"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pabon-Hall
• Ivelisse Pacheco Perez
• Pain and Spine Centers of Florida LLC
• Gerard E Palmer, OTR/L
• Scott E Palmer, DO
• Pam Rehabilitation Hospital of Tavares LLC (PAM Health Rehabilitation Hospital of Ocoee)
• Thomas F Parente, MD
• Joel A Park
• Zackery Glenn Partin, HAS
• Pascarella, Hoover, Finkelstein & Wagner, DPM, PA

• Hospitalist Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.