Individual
MARION M PANDISCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 59TH ST W, BLAKE PARK STE B, BRADENTON, FL 34209
(941) 792-4993
(941) 795-2905
Mailing address
1850 59TH ST W, BLAKE PARK STE B, BRADENTON, FL 34209
(941) 792-4993
(941) 795-2905
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME65466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160033444
RAILROAD MEDICARE
FL
01
—
28174
BCBS
FL
Enumeration date
04/18/2006
Last updated
05/27/2008
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