Michael J Pettella, Dc, Pllc

NPI #1891013900 in Belleview, Florida

Provider Information

NPI Number: 1891013900
Entity Type: Organization
Organization Name: Michael J Pettella, Dc, Pllc
Primary Specialty: Chiropractor
Enumeration Date: May 13, 2010
Last Updated: May 13, 2010

Practice Location

Address: 6175 SE 126TH LN
City: Belleview
State: Florida
ZIP Code: 34420-5208
Phone: (352) 245-8300

Authorized Official

Name: MICHAEL PETTELLA, DC
Title: PRESIDENT
Phone: (352) 245-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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