Michael D Saccente Do Pa | |
1251 Lakeview Rd Clearwater FL 33756-3587 | |
(727) 544-9326 | |
(727) 544-9601 |
Full Name | Michael D Saccente Do Pa |
---|---|
Speciality | Internal Medicine |
Location | 1251 Lakeview Rd, Clearwater, Florida |
Authorized Official Name and Position | Michael D Saccente (OWNER) |
Authorized Official Contact | 7275449326 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Michael D Saccente Do Pa 1251 Lakeview Rd Clearwater FL 33756-3587 Ph: (727) 544-9326 | Michael D Saccente Do Pa 1251 Lakeview Rd Clearwater FL 33756-3587 Ph: (727) 544-9326 |
NPI Number | 1841204112 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 01/12/2011 |
Medicare PECOS PAC ID | 7113920430 |
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Medicare Enrollment ID | O20060807000079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841204112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS9226 (Florida) | Primary |
Provider Name | Michael D Saccente |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518936905 PECOS PAC ID: 5991765489 Enrollment ID: I20041019000534 |
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