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Organization
PELVIC PAIN DIAGNOSTIC AND TREATMENT CENTER
Active
Organization
PELVIC PAIN DIAGNOSTIC AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD MICHAEL DILEO M.D. (SOLE PROPRIETOR/OWNER)
(985) 373-7517
Entity
Organization
Contact information
Practice address
1918 ROBINHOOD ST, SARASOTA, FL 34231-3620
(985) 630-0498
(941) 538-9415
Mailing address
1918 ROBINHOOD ST, SARASOTA, FL 34231-3620
(985) 630-0498
(941) 538-9415
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME95062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10982309
CAQH
FL
05
—
275476200
—
FL
Enumeration date
06/06/2011
Last updated
06/06/2011
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