Individual
DR. MICHELE D. PESCASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10311 CROSS CREEK BLVD, SUITE E, TAMPA, FL 33647-2989
(813) 907-9898
(813) 907-0220
Mailing address
10311 CROSS CREEK BLVD, SUITE E, TAMPA, FL 33647-2989
(813) 907-9898
(813) 907-0220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME95246
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME95246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274739100
—
FL
01
—
41002
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/15/2005
Last updated
05/03/2017
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