Provider Demographics
NPI:1568867042
Name:PACE, JOSE FEROLINO III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:FEROLINO
Last Name:PACE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11365 HIGHWAY 231 431 N STE F
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-2151
Mailing Address - Country:US
Mailing Address - Phone:256-693-7070
Mailing Address - Fax:
Practice Address - Street 1:11365 HIGHWAY 231 431 N STE F
Practice Address - Street 2:
Practice Address - City:MERIDIANVILLE
Practice Address - State:AL
Practice Address - Zip Code:35759-2151
Practice Address - Country:US
Practice Address - Phone:256-693-7070
Practice Address - Fax:256-693-7064
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD36175207R00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No282N00000XHospitalsGeneral Acute Care Hospital