Healthcare Provider Details

I. General information

NPI: 1942217229
Provider Name (Legal Business Name): PAUL H LENTO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 BAHIA VISTA STREET SUITE 100
SARASOTA FL
34239
US

IV. Provider business mailing address

2750 BAHIA VISTA STREET SUITE 100
SARASOTA FL
34239
US

V. Phone/Fax

Practice location:
  • Phone: 941-951-2663
  • Fax: 215-707-3644
Mailing address:
  • Phone: 941-951-2663
  • Fax: 215-707-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036-102338
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number036-102338
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number036-102338
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD-433045
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD-433045
License Number StatePA
# 6
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME90421
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: