DR. ANGEL GABRIEL PAGAN (NPI# 1063414381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063414381 |
| Entity Type | Individual |
| Full Name | DR. ANGEL GABRIEL PAGAN |
| Credential | M. D. |
| Practice Address |
117 W Belt Ave Bushnell FL 33513-5101 |
| Practice Telephone | 3525681988 |
| Mailing Telephone | 3525681988 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN886 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5819 Argerian Dr, Wesley Chapel, FL 335454159 | 8139940800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275175887 | Angel Virgilio Pagan | Nurse Practitioner | 2944 Doug Ford Dr, El Paso, TX 79935-2032 | 2019-10-15 |
| 1578796769 | Angel Gabriel Pagan | Psychiatry & Neurology | Univ of P R Medical Sciences Campus, Department of Psychiatry 9th Floor Office, Office A-994, San Juan, PR 00935-0001 | 2009-09-03 |
| 1609806116 | Angel Rafael Pagan | Dentist | Fd Roosevelt Ave #162, Hato Rey, PR 00918 | 2006-07-03 |
| 1598207011 | Angel Pagan | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2016-11-15 |
| Street Address |
117 W BELT AVE |
| City | BUSHNELL |
| State | FL |
| Zip Code | 33513-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272167 | Salina Womack | Nurse Practitioner | 117 W Belt Ave, Bushnell, FL 33513-5101 | 2018-07-19 |
| 1770907016 | Christopher Norman Walters | Physician Assistant | 117 W Belt Ave, Suite A, Bushnell, FL 33513-5101 | 2014-02-06 |
| 1235470881 | Kirti Patel | Physician Assistant | 117 W Belt Ave, Bushnell, FL 33513-5101 | 2013-03-06 |
| 1255477360 | Healthflo Medical Clinics Inc | Clinic/Center | 117 W Belt Ave, Suite A, Bushnell, FL 33513-5105 | 2007-01-29 |
| 1619976198 | Mahmud U Ahmed | Internal Medicine | 117 W Belt Ave, Suite A, Bushnell, FL 33513-5105 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465481 | Crystal Wallace Goddin | Physical Therapy Assistant | 1104 N Main St, Bushnell, Fl, Bushnell, FL 33513 | 2018-04-27 |
| 1255836920 | Anton Dawson | Behavior Technician | 2310 Cr 615, Bushnell, FL 33513 | 2018-03-26 |
| 1942728431 | Carolyn Sue Guarino | Licensed Practical Nurse | 10306 S.w. 53rd Terr., Bushnell, FL 33513 | 2017-09-05 |
| 1326321258 | Edith Marie Evans | Case Manager/Care Coordinator | 2891 C.r. 615b, Bushnell, FL 33513 | 2011-09-27 |
| 1144478439 | Emma J Ridley | Pharmacist | Sumter Oaks Park, 4602 Couny Rd. 673, #14107, Bushnell, FL 33513 | 2008-08-29 |
| 1205083268 | Diana K Mullin | Day Training, Developmentally Disabled Services | 9325 Cr 622 G, Bushnell, FL 33513 | 2008-08-21 |
| 1467625202 | Amy's Caring Hands | Day Training, Developmentally Disabled Services | 1612 W County Road 476, Bushnell, FL 33513 | 2008-04-11 |
| 1821212952 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 1814 West Cr 48, Bushnell, FL 33513 | 2007-04-12 |
| 1740201128 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1122 N Main St, Bushnell, FL 33513 | 2006-07-21 |
| 1184688947 | Florida Department of Health | Public Health or Welfare | 415 E Noble Ave, Bushnell, FL 33513 | 2006-04-17 |
| Find all providers in zip 33513 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235696329 | Carefirst Aco, LLC | General Practice | 1225 W County Road 48, Bushnell, FL 33513-8973 | 2019-02-25 |
| 1740531011 | Daniel D Dstteffano | General Practice | 212 S Florida St, Clark Clinic Inc, Bushnell, FL 33513-6703 | 2012-09-27 |
| 1255518486 | Ehrentraud Johanna Eichelbaum | General Practice | 212 S Florida St, Bushnell, FL 33513-6703 | 2008-01-30 |
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|---|---|---|---|---|
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| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.