| Vincent Pianelli, M.D. | |
|
935 Intracoastal Drive Fort Lauderdale FL 33304 | |
| (954) 522-8561 | |
| (954) 522-6602 |
| Full Name | Vincent Pianelli, M.D. |
|---|---|
| Speciality | Internal Medicine |
| Location | 935 Intracoastal Drive, Fort Lauderdale, Florida |
| Authorized Official Name and Position | George G Boctor (OWNER) |
| Authorized Official Contact | 9547761180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Pianelli, M.D. Po Box 23158 Fort Lauderdale FL 33307-3158 Ph: (954) 522-8561 | Vincent Pianelli, M.D. 935 Intracoastal Drive Fort Lauderdale FL 33304 Ph: (954) 522-8561 |
| NPI Number | 1194979963 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 0648336453 |
|---|---|
| Medicare Enrollment ID | O20090323000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194979963 | NPI | - | NPPES |
| 06830 | Other | FL | MEDICARE ID |
| 048950600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0014100 (Florida) | Primary |
| Provider Name | Vincent Pianelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669498697 PECOS PAC ID: 4789786088 Enrollment ID: I20070216000155 |
| Provider Name | Lilliam M Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023218328 PECOS PAC ID: 0143306969 Enrollment ID: I20080319000461 |
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