Provider Demographics
NPI:1316303282
Name:EMILIA B PACARIEM MD
Entity type:Organization
Organization Name:EMILIA B PACARIEM MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PACARIEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-351-1164
Mailing Address - Street 1:1328 SE 25TH LOOP
Mailing Address - Street 2:STE 101
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1026
Mailing Address - Country:US
Mailing Address - Phone:352-351-0556
Mailing Address - Fax:352-351-0556
Practice Address - Street 1:1328 SE 25TH LOOP
Practice Address - Street 2:STE 101
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1026
Practice Address - Country:US
Practice Address - Phone:352-351-0556
Practice Address - Fax:352-351-0556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME29831207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty