Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pablo Manuel Dejesus, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1013176031

Pablo Manuel Dejesus, PHYSICIANASSISTANT is a Physician Assistant in Palm Coast, Florida. Qualified in 2008, 18 years ago. Practices with Palm Harbor Family Practice and Walk-In Clinic, PA, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
18
Licensed in
FL
In the registry since
2008
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Practice location Partly verified

Some contact details are missing from the federal record.

Palm Coast Family Practice 9 Pine Cone Dr Ste 102
Palm Coast, FL 32137
Phone: (386) 445-6191
Fax: (386) 445-3916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9114008 (FL)

Record details

NPI number1013176031
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 5, 2008
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Palm Harbor Family Practice And Walk-In Clinic, P.A — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Palm Coast