Individual
MICHAEL D PENTALERI
Active
Individual
MICHAEL D PENTALERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME78641
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME78641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003156073A
GA MEDICAID
GA
05
—
259013100
—
FL
01
—
301630
AVMED
FL
01
—
35376
BCBS
FL
01
—
P00301196
MEDICARE RAILROAD
FL
01
—
P01130437
RR MEDICARE
FL
Enumeration date
04/27/2006
Last updated
02/29/2024
Update your record
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