Provider Demographics
NPI:1063812154
Name:PACIA-HULAR, IRENE PARE
Entity type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:PARE
Last Name:PACIA-HULAR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:IRENE
Other - Middle Name:PARE
Other - Last Name:PACIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10385 SW 100TH DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10385 SW 100TH DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7373
Practice Address - Country:US
Practice Address - Phone:702-858-9210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT288152251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics