Provider Demographics
NPI:1851508709
Name:PASTORA, YOCASTA CECILIA (DENTIST)
Entity Type:Individual
Prefix:DR
First Name:YOCASTA
Middle Name:CECILIA
Last Name:PASTORA
Suffix:
Gender:F
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 SW 2ND AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2803
Mailing Address - Country:US
Mailing Address - Phone:352-335-3003
Mailing Address - Fax:352-335-9229
Practice Address - Street 1:3601 SW 2ND AVE
Practice Address - Street 2:SUITE C
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2803
Practice Address - Country:US
Practice Address - Phone:352-335-3003
Practice Address - Fax:352-335-9229
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00131461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice