Provider Demographics
NPI:1184824542
Name:PAMER, MARK JON (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:JON
Last Name:PAMER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:537 NW LAKE WHITNEY PL STE 103
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-1620
Mailing Address - Country:US
Mailing Address - Phone:772-785-5864
Mailing Address - Fax:772-344-2555
Practice Address - Street 1:537 NW LAKE WHITNEY PL STE 103
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1620
Practice Address - Country:US
Practice Address - Phone:772-785-5864
Practice Address - Fax:772-344-2555
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT4814207RC0200X, 207RP1001X
FLOS9475207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine