Organization
PENNACHIO & FISHMAN M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PENNACHIO (MD)
(352) 589-5162
Entity
Organization
Contact information
Practice address
1100 S GROVE ST, EUSTIS, FL 32726-5524
(352) 589-5162
Mailing address
1100 S GROVE ST, EUSTIS, FL 32726-5524
(352) 589-5162
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
FL
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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