# MICHAEL PENNACHIO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pennachio Eye
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477092187
- **Authorized official:** MR. MICHAEL PENNACHIO MD (OWNER)
- **Authorized official phone:** (352) 227-1999

## Contact information

- **Practice address:** 14244 SR 50, CLERMONT, FL 34711-8003
- **Practice address phone:** (352) 227-1999
- **Mailing address:** 14244 SR 50, CLERMONT, FL 34711-8003
- **Mailing address phone:** (352) 227-1999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME45426 | FL | Yes |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 03/03/2017