Provider Demographics
NPI:1780677401
Name:PAMITTAN, FRANZUEL B (MD PA)
Entity Type:Individual
Prefix:DR
First Name:FRANZUEL
Middle Name:B
Last Name:PAMITTAN
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 495659
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33949-5659
Mailing Address - Country:US
Mailing Address - Phone:941-629-7777
Mailing Address - Fax:941-629-8170
Practice Address - Street 1:2525 HARBOR BLVD
Practice Address - Street 2:308
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-5317
Practice Address - Country:US
Practice Address - Phone:941-629-7777
Practice Address - Fax:941-629-8170
Is Sole Proprietor?:No
Enumeration Date:2005-08-28
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77553207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL49477OtherBCBS
FL110234278OtherRAILROAD MEDICARE
FL258143400Medicaid
FLE3670YMedicare ID - Type Unspecified
FL258143400Medicaid