Provider Demographics
NPI:1841263860
Name:FALCIGNO, PAMELA MOHR (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:MOHR
Last Name:FALCIGNO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 IMPERIAL GOLF COURSE BLVD
Mailing Address - Street 2:PMB 78
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-8158
Mailing Address - Country:US
Mailing Address - Phone:239-682-3737
Mailing Address - Fax:
Practice Address - Street 1:975 IMPERIAL GC BLVD
Practice Address - Street 2:#78
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-8158
Practice Address - Country:US
Practice Address - Phone:239-682-3737
Practice Address - Fax:239-514-2820
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32807207P00000X
FLME58723207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC87604Medicaid
FL11427Medicare UPIN