MEDICARE: DR. CLEMENTE PINEDA NUNAG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME33352	FL

General Provider Information

NPI Number	:	1427051150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLEMENTE PINEDA NUNAG M.D.

Provider Business Mailing Address
First Line	:	10222 YALE AVE
Second Line	:
City	:	WEEKI WACHEE
State	:	FL
Zip	:	34613-8375
Country	:	US
Telephone Number	:	352-597-9797
Fax Number	:	352-597-5556

Provider Business Practice Location Address
First Line	:	10222 YALE AVE
Second Line	:
City	:	WEEKI WACHEE
State	:	FL
Zip	:	34613-8375
Country	:	US
Telephone Number	:	352-597-9797
Fax Number	:	352-597-5556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	09/20/2013

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