Individual
DR. DANIEL PENELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. MBA
Contact information
Practice address
12416 66TH STREET N, SUITE A, LARGO, FL 33773
(727) 547-4700
(727) 394-8661
Mailing address
12416 66TH ST, SUITE A, LARGO, FL 33773-3430
(727) 547-4700
(727) 394-8661
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME107487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME107487
MEDICAL LICENSE NUMBER
FL
Enumeration date
11/02/2009
Last updated
08/01/2018
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