Individual
DANIEL S PACIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 S TAMIAMI TRL, SUITE 401, SARASOTA, FL 34239-2940
(941) 917-0060
(941) 316-9216
Mailing address
1540 S TAMIAMI TRL STE 401, SARASOTA, FL 34239-2921
(941) 917-0060
(941) 316-9216
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME70756
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME70756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060039577
RAILROAD MEDICARE
FL
05
—
251130400
—
FL
01
—
25664
WELLCARE
FL
01
—
31953
BLUE CROSS BLUE SHIELD
FL
01
—
4374189
AETNA
FL
Enumeration date
08/17/2006
Last updated
09/29/2025
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