Active NPI
Pam Physician Enterprise
- Hospitalist Physician
- Tavares, FL
National Provider Identifier
1962377929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- PAM PHYSICIAN ENTERPRISE
- Practice address
- 1730 Mayo Dr
Tavares, FL 32778-4308 - Phone
- (352) 525-3001
- NPI assigned
- Oct 9, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1730 Mayo Dr
Tavares, FL 32778-4308
Mailing address
1828 Good Hope Rd Ste 102
Attn Legal Dept
Enola, PA 17025-1203
Phone (717) 731-9660
Other practice location 1
5075 Innovation Way
Jupiter, FL 33458-6101
Phone (561) 935-3002
Other practice location 2
4901 Richard St
Jacksonville, FL 32207-7328
Phone (904) 425-0500
Other practice location 3
2639 Curry Ln
Nokomis, FL 34275-4903
Phone (941) 244-5089
Other practice location 4
6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (941) 342-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220709000282 | FL | Part B Supplier - Clinic/Group Practice | 1254628589 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tavares, FL; Sarasota, FL; Nokomis, FL; Jupiter, FL; Jacksonville, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Medicine & Rehabilitation Physician
- Fargo, ND
- NPI 1962856161
O20220709000282
National Provider Directory
National Provider Directory- Tax ID family
- Pam Physician Enterprise
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Milford, DE
- NPI 1104712959
-
- Physical Medicine & Rehabilitation Physician
- Golden, CO
- NPI 1275338501
-
- Physical Medicine & Rehabilitation Physician
- Lafayette, CO
- NPI 1417753740
-
- Physical Medicine & Rehabilitation Physician
- Westminster, CO
- NPI 1437955762
-
- Physical Medicine & Rehabilitation Physician
- Golden, CO
- NPI 1568267888
-
- Physical Medicine & Rehabilitation Physician
- Georgetown, DE
- NPI 1578459301
-
- Psychiatry Physician
- Sugar Land, TX
- NPI 1740167790
-
- Hospitalist Physician
- Johnstown, CO
- NPI 1659705424
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
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": []
}Other providers in Tavares, FL
Sources for this page
- 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.