| Pestana And Pestana, Md, Pa | |
|
3100 Coral Hills Dr Suite 201 Coral Springs FL 33065-4137 | |
| (954) 755-8844 | |
| (954) 755-0272 |
| Full Name | Pestana And Pestana, Md, Pa |
|---|---|
| Speciality | Plastic Surgery |
| Location | 3100 Coral Hills Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Ivo D. Pestana (PRESIDENT) |
| Authorized Official Contact | 9547558844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pestana And Pestana, Md, Pa Po Box 8025 Coral Springs FL 33075-8025 Ph: (954) 755-8844 | Pestana And Pestana, Md, Pa 3100 Coral Hills Dr Suite 201 Coral Springs FL 33065-4137 Ph: (954) 755-8844 |
| NPI Number | 1437250180 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6709032501 |
|---|---|
| Medicare Enrollment ID | O20120810000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437250180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME91351 (Florida) | Primary |
| 208000000X | Pediatrics | ME34450 (Florida) | Primary |
| 208200000X | Plastic Surgery | ME33915 (Florida) | Primary |
| Provider Name | Ivo Davila Pestana |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942258645 PECOS PAC ID: 1850455403 Enrollment ID: I20120810000179 |
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