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NPI Code Detail

MEDICARE: MICHAEL DIPETRILLO

MEDICARE: MICHAEL DIPETRILLO
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
1183500000XPharmacistPS41910FL

General Provider Information

NPI Number : 1528305125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DIPETRILLO
Provider Business Mailing Address
First Line : 4501 HOFFNER AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32812-2305
Country : US
Telephone Number : 407-850-2373
Fax Number : 407-850-9526
Provider Business Practice Location Address
First Line : 4501 HOFFNER AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32812-2305
Country : US
Telephone Number : 407-850-2373
Fax Number : 407-850-9526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2013
Last Update Date : 01/16/2013

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Directions to “ MICHAEL DIPETRILLO ” Practice Location

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