Organization
MICHAEL PENNACHIO, LLC
Active
Other names
Pennachio Eye
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PENNACHIO MD (OWNER)
(352) 227-1999
Entity
Organization
Contact information
Practice address
14244 SR 50, CLERMONT, FL 34711-8003
(352) 227-1999
Mailing address
14244 SR 50, CLERMONT, FL 34711-8003
(352) 227-1999
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME45426
FL
Other
Enumeration date
02/14/2017
Last updated
03/03/2017
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