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MICHAEL J PETTELLA DC PLLC NPI 1891013900


NPI Information

NPI: 1891013900
Provider Name: MICHAEL J PETTELLA, DC, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6175 SE 126TH LN
BELLEVIEW, FL
ZIP 34420
Phone: (352) 245-8300
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MICHAEL J PETTELLA, DC, PLLC is a chiropractor in Belleview, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MICHAEL J PETTELLA, DC, PLLC NPI is 1891013900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6175 SE 126TH LN
BELLEVIEW, FL
ZIP 34420-208
Phone: (352) 245-8300

The provider's authorized official is Michael Pettella .
The authorized official title is President and has the following contact phone number (352) 245-8300.

The enumeration date for this NPI number is 5/13/2010 and was last updated on 5/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH0006496FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U42053MEDICARE UPINFLORIDA
222882MEDICARE PINFLORIDA
3350052194OTHERFLORIDARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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