Provider Demographics
NPI:1326874892
Name:PASCAL, MAJORYA (N/A)
Entity type:Individual
Prefix:
First Name:MAJORYA
Middle Name:
Last Name:PASCAL
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1079 LEEWAY CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-4515
Mailing Address - Country:US
Mailing Address - Phone:407-731-9053
Mailing Address - Fax:
Practice Address - Street 1:3241 OLD WINTER GARDEN RD STE 26
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-1124
Practice Address - Country:US
Practice Address - Phone:407-402-4443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Single Specialty