Provider Demographics
NPI:1700065133
Name:HUNT, PAMEKA LACONTE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:PAMEKA
Middle Name:LACONTE
Last Name:HUNT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 REGENT CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-8818
Mailing Address - Country:US
Mailing Address - Phone:407-936-4413
Mailing Address - Fax:
Practice Address - Street 1:1557 REGENT CT
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-8818
Practice Address - Country:US
Practice Address - Phone:407-936-4413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN 1290921164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse