Organization
PEZZONE GASTROENTEROLOGY ASSOCIATES PC
Active
Organization
PEZZONE GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANGELO PEZZONE M.D. (PRESIDENT)
(352) 674-8700
Entity
Organization
Contact information
Practice address
1400 N US HIGHWAY 441 STE 810, THE VILLAGES, FL 32159-8987
(352) 674-8700
(352) 674-8714
Mailing address
1400 N US HIGHWAY 441 STE 810, THE VILLAGES, FL 32159-8987
(352) 674-8700
(352) 674-8714
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD060508L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001812538
—
PA
Enumeration date
10/06/2011
Last updated
10/17/2016
Update your record
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