HECTOR C PAGAN MD PA
Osteopathic Medicine at 13 Ave, Jacksonville, FL

License number
Florida ME50071
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. HECTOR C. PAGAN M.D.
Title: PRESIDENT
Phone: (904) 247-8187
Address
Address
1361 13Th Ave S STE 210, Jacksonville, FL 32250
National Provider ID: 1639264617
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HECTOR C. PAGAN, M.D., PA

Jacksonville, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Reinstatement
Registration:
Aug 1, 1995
Inactive since:
Oct 24, 2003
Phone:
(904) 247-8187 (Phone)
Addresses:
1361 13 Ave S 210, Jacksonville Beach, FL 32250 (Physical)
1361 13 Ave S, Jacksonville, FL 32250
State ID:
P95000064933
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Vice President:
Hector Cm.d. Pagan (President, Treasurer, Secretary, Vice President), 1361 13 Ave S SUITE 210, Jacksonville Beach, FL 32250 (Physical)
Agent:
Hector Pagan,1361 13 Ave S, Jacksonville Beach, FL 32250 (Physical)
EIN:
59-3328685

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