# PELVIC PAIN DIAGNOSTIC AND TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538453618
- **Authorized official:** DR. GERARD MICHAEL DILEO M.D. (SOLE PROPRIETOR/OWNER)
- **Authorized official phone:** (985) 373-7517

## Contact information

- **Practice address:** 1918 ROBINHOOD ST, SARASOTA, FL 34231-3620
- **Practice address phone:** (985) 630-0498
- **Practice address fax:** (941) 538-9415
- **Mailing address:** 1918 ROBINHOOD ST, SARASOTA, FL 34231-3620
- **Mailing address phone:** (985) 630-0498
- **Mailing address fax:** (941) 538-9415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME95062 | FL | Yes |

## Other

- **Enumeration date:** 06/06/2011
- **Last updated:** 06/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10982309 | CAQH | FL |
| 05 | — | 275476200 | — | FL |