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Organization

PELVIC PAIN DIAGNOSTIC AND TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERARD MICHAEL DILEO M.D. (SOLE PROPRIETOR/OWNER)
(985) 373-7517
Entity
Organization

Contact information

Practice address
1918 ROBINHOOD ST, SARASOTA, FL 34231-3620
(985) 630-0498
(941) 538-9415
Mailing address
1918 ROBINHOOD ST, SARASOTA, FL 34231-3620
(985) 630-0498
(941) 538-9415

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME95062
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10982309
CAQH
FL
05
275476200
FL
Enumeration date
06/06/2011
Last updated
06/06/2011
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