Provider Demographics
NPI:1750025227
Name:PASTEUR MEDICAL MANAGEMENT, LLC
Entity Type:Organization
Organization Name:PASTEUR MEDICAL MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. LEGAL SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ESTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-293-1281
Mailing Address - Street 1:9250 W FLAGLER ST STE 600
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3460
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7900 NW 27TH AVE STE A3-A4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4909
Practice Address - Country:US
Practice Address - Phone:305-487-1894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PASTEUR MEDICAL MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty