Cooley G Pantazis, MD
Pathology, Clinical Pathology/Laboratory Medicine in Ocala, FL. Individual provider (NPI-1).
NPI number1467429720
StatusActive
Last updated in NPPESAug 6, 2010
Details
- NPI
- 1467429720
- Entity type
- Individual (NPI-1)
- Name
- Cooley G Pantazis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2006
- Last updated
- Aug 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | ME75579 | FL | Yes |
| 207SC0300X | Medical Genetics, Clinical Cytogenetic | ME75579 | FL | |
| 207ZC0500X | Pathology, Cytopathology | ME75579 | FL | |
| 207ZH0000X | Pathology, Hematology | ME75579 | FL | |
| 207ZI0100X | Pathology, Immunopathology | ME75579 | FL | |
| 207ZP0007X | Pathology, Molecular Genetic Pathology | ME75579 | FL | |
| 207ZP0101X | Pathology, Anatomic Pathology | ME75579 | FL | |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 022259 | GA |
Practice location
1500 Sw 1st StOcala, FL 34471-6504
Phone 352-351-7262 · Fax 352-402-5047
Mailing address
Po Box 63069Charleston, SC 29419-3069
Phone 352-351-7263 · Fax 352-622-3672
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