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Michael D Pentaleri, MD
Diagnostic Radiology Physician in Tampa, Florida
NPI 1316904022

Michael D Pentaleri is a Diagnostic Radiology Physician based in Atlanta, FL and is specialized in Diagnostic Radiology. Michael D Pentaleri practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Michael D Pentaleri is 1316904022 and holds a License No. ME78641 (Florida).

The current practice location address for Michael D Pentaleri is 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL and can be reached out via phone at 813-875-3950 and via fax at 813-872-2741.

Location: 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL, 30368-2222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316904022
Provider Name
Michael D Pentaleri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3402 W Dr Martin Luther King Jr Blvd, Tampa, FL, 30368-2222
Phone Number
813-875-3950
Fax Number
813-872-2741
Provider Enumeration Date
04/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00301196 01 FL MEDICARE RAILROAD
35376 01 FL BCBS
P01130437 01 FL RR MEDICARE
259013100 05 FL
003156073A 01 GA GA MEDICAID
301630 01 FL AVMED
institution
Provider Business Practice Location Address Details
Address
3402 W Dr Martin Luther King Jr Blvd
City
Tampa
State
Florida
Zip
33607-6214
Phone Number
813-875-3950
Fax Number
813-872-2741
person
Provider Business Mailing Address Details
Address
3402 W Dr Martin Luther King Jr Blvd
City
Tampa
State
Florida
Zip
33607-6214
Phone Number
813-875-3950
Fax Number
813-872-2741
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME78641 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME78641 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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