Provider Demographics
NPI:1326880154
Name:POMAR, ALEXANDER MARIO (PA)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:MARIO
Last Name:POMAR
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:6424 TIMBERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-5394
Mailing Address - Country:US
Mailing Address - Phone:352-278-2539
Mailing Address - Fax:
Practice Address - Street 1:6424 TIMBERDALE AVE
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-5394
Practice Address - Country:US
Practice Address - Phone:352-278-2539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical