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1750312005
MICHAEL PENNACHIO
LEESBURG, FL
NPI
1750312005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: FL ME0045426)
Enumeration Date
2006-07-05
Last Update Date
2008-03-03
Business Address
Dr. MICHAEL PENNACHIO M.D.
640 S LAKE ST
LEESBURG, FL 34748-5927
Phone number: 352-728-1717
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Mailing Address
Dr. MICHAEL PENNACHIO M.D.
1100 S GROVE ST
EUSTIS, FL 32726-5524
Phone number: 352-728-1717
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