MEDICARE: PATRICK P CINELLI 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	207R00000X	Internal Medicine Physician	ME0051083	FL

General Provider Information

NPI Number	:	1598793861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK P CINELLI M.D.

Provider Business Mailing Address
First Line	:	2626 TAMPA RD
Second Line	:	SUITE 101
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3155
Country	:	US
Telephone Number	:	727-789-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 TAMPA RD
Second Line	:	SUITE 101
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3155
Country	:	US
Telephone Number	:	727-789-2700
Fax Number	:

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/02/2010

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