MEDICARE: DR. MICHAEL KENNETH PAGANI AP LMT

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	171100000X	Acupuncturist	AP916	FL
2	225700000X	Massage Therapist	MA7397	FL

General Provider Information

NPI Number	:	1528024155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL KENNETH PAGANI AP LMT

Provider Business Mailing Address
First Line	:	1790 POMERO DRIVE
Second Line	:	BILLING DEPT
City	:	VENICE
State	:	FL
Zip	:	34293-2716
Country	:	US
Telephone Number	:	941-493-8596
Fax Number	:	941-496-8515

Provider Business Practice Location Address
First Line	:	3522 WEST AZECLE STREET
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609
Country	:	US
Telephone Number	:	813-998-9200
Fax Number	:	941-496-8515

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	09/11/2025

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