Individual
IVO D PESTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 CORAL HILLS DR, NO 201, CORAL SPRINGS, FL 33065-4137
(954) 755-8844
(954) 755-0272
Mailing address
3100 CORAL HILLS DR, NO 201, CORAL SPRINGS, FL 33065-4137
(954) 755-8844
(954) 755-0272
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME33915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039840300
—
FL
01
—
GI432Z
MEDICARE
FL
Enumeration date
05/04/2006
Last updated
01/16/2023
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