Lorello, Michael R
Lorello, Michael R is an sole proprietor health care provider with primary practice located at 3890 Tampa Rd Suite 3404, Palm Harbor FL 34684-3676. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lorello, Michael R can be contacted via phone (727) 216-0505.Contact Information
Primary practice address
3890 Tampa Rd Suite 3404
Palm Harbor FL 34684-3676
Phone: (727) 216-0505
Fax: (727) 789-8261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C5-0012026 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00052700 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA002676L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101788 | Florida |
Profile Details
| NPI number | 1710969597 |
|---|---|
| LBN Legal business name | Lorello, Michael R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Apr 11th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710969597 | NPPES |
| Florida | MEDICAID | 291311900 |
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