Individual
DR. SAMUEL V PELLEGRINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME84614
FL
2086S0127X
Trauma Surgery Physician
Primary
ME84614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2707055-00
—
FL
01
—
50172W
HFMG FL MEDICARE
FL
01
—
50172X
HFMG FL MEDICARE
FL
01
—
P01476869
FL RR MEDICARE
FL
Enumeration date
03/27/2006
Last updated
03/06/2020
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