| Doctor Name: | DR. RICARDO PASCUAL |
| NPI Number: | 1174582969 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 12173 |
| Business Practice Address: | 1120 State Road 436 Suite 1200 Casselberry, FL - 327076100 |
| Business Phone Number: | 4073228645 |
| Business Fax Number: | 4073305074 |
| Mailing Address: | 4930 Lake Mary Blvd, SANFORD |
| State: | FL |
| Postal Code: | 327716012 |
| Phone Number: | 4073228645 |
| Fax Number: | 4073305074 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12173 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |