Pescasio, Michele D.

Pescasio, Michele D. is an individual health care provider with primary practice located at 10311 Cross Creek Blvd Suite E, Tampa FL 33647-2989. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Pescasio, Michele D. can be contacted via phone (813) 907-9898.

Contact Information

Primary practice address
10311 Cross Creek Blvd Suite E Tampa FL 33647-2989
Phone: (813) 907-9898
Fax: (813) 907-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME95246 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME95246 Florida

Profile Details

NPI number 1285610915
LBN Legal business name Pescasio, Michele D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated May 3rd, 2017 - about 9 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285610915 NPPES
Florida MEDICAID 274739100
Florida Other 41002

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