Individual
ERASMO A. PASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1607 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-4226
(727) 329-8833
(727) 329-8840
Mailing address
1607 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-4226
(727) 329-8833
(727) 329-8840
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
ME67462
FL
2084N0400X
Neurology Physician
Primary
ME67462
FL
2084N0600X
Clinical Neurophysiology Physician
ME67462
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
ME67462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377801100
—
FL
Enumeration date
09/21/2005
Last updated
06/27/2014
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