| Michael D Saccente DO PA | |
|
1251 Lakeview Rd Clearwater FL 33756-3587 | |
| (727) 544-9326 | |
| (727) 544-9601 |
| Full Name | Michael D Saccente DO PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 1251 Lakeview Rd, Clearwater, Florida |
| Authorized Official Name and Position | Michael D Saccente (OWNER) |
| Authorized Official Contact | 7275449326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Saccente DO PA 1251 Lakeview Rd Clearwater FL 33756-3587 Ph: (727) 544-9326 | Michael D Saccente DO PA 1251 Lakeview Rd Clearwater FL 33756-3587 Ph: (727) 544-9326 |
| NPI Number | 1841204112 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 01/12/2011 |
| Medicare PECOS PAC ID | 7113920430 |
|---|---|
| Medicare Enrollment ID | O20060807000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841204112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS9226 (Florida) | Primary |
| Provider Name | Michael D Saccente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518936905 PECOS PAC ID: 5991765489 Enrollment ID: I20041019000534 |
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