Individual
JUSTIN SHAWN PILIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5779
(352) 273-6438
Mailing address
500 KNIGHTS RUN AVE UNIT 1408, TAMPA, FL 33602-6015
(813) 410-1109
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101160200
—
FL
Enumeration date
06/21/2018
Last updated
05/16/2024
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