Individual
LOUIS JOSEPH PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(914) 792-6611
Mailing address
3312 W WYOMING CIR, TAMPA, FL 33611-4337
(941) 720-9503
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS20047
FL
Other
Enumeration date
03/28/2019
Last updated
11/02/2023
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