Michael Pennachio, LLC

NPI #1730689530 in Eustis, Florida

Provider Information

NPI Number: 1730689530
Entity Type: Organization
Organization Name: Michael Pennachio, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MICHAEL PENNACHIO, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Feb 19, 2018
Last Updated: Feb 19, 2018

Practice Location

Address: 1100 S GROVE ST
City: Eustis
State: Florida
ZIP Code: 32726-5524
Phone: (352) 227-1999

Authorized Official

Name: MICHAEL PENNACHIO, MD
Title: OWNER
Phone: (352) 227-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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