Michael J Petrocelli (NPI# 1811988165, PAC ID# 2365421955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1811988165 |
| PAC ID by PECOS | 2365421955 |
| Professional Enrollment ID | I20040716000851 |
| Full Name | Michael J Petrocelli |
| Address |
1715 Heritage Trl Suite 204 Naples FL 34112-8715 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 1992 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100018 | NAPLES COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1715 Heritage Trl, Suite 204, Naples, FL 34112-8715 |
| Street Address |
1715 HERITAGE TRL SUITE 204 |
| City | NAPLES |
| State | FL |
| Zip | 34112-8715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don L Bradke | Internal Medicine | Senior Friendship Centers Inc | 2355 Stanford Ct, Unit 701, Naples, FL 34112-4813 |
| Edward F Banaszak | Internal Medicine | Senior Friendship Centers Inc | 2355 Stanford Ct, Unit 701, Naples, FL 34112-4813 |
| Ignatius F Greene | Family Practice | Senior Friendship Centers Inc | 2355 Stanford Ct, Unit 701, Naples, FL 34112-4813 |
| Richard W Friess | Family Practice | Senior Friendship Centers Inc | 2355 Stanford Ct, Unit 701, Naples, FL 34112-4813 |
| Thomas Maher | Endocrinology | Senior Friendship Centers Inc | 2355 Stanford Ct, Unit 701, Naples, FL 34112-4813 |
| Ranendra L Dasvarma | Internal Medicine | Senior Friendship Centers Inc | 2355 Stanford Ct, Unit 701, Naples, FL 34112-4813 |
| Bruce Genovese | Cardiovascular Disease (cardiology) | Senior Friendship Centers Inc | 2355 Stanford Ct, Naples, FL 34112-4813 |
| Joseph F Bocklage | Orthopedic Surgery | Senior Friendship Centers Inc | 2355 Stanford Ct, Unit 701, Naples, FL 34112-4813 |
| Paul David Baumgardner | Chiropractic | 2663 Airport Rd S, Suite D104, Naples, FL 34112-4875 | |
| Dao Tien Duong | Nurse Practitioner | Florida Department of Health | 3339 Tamiami E Trl, Suite 145, Naples, FL 34112-5361 |
| Find all physicians in zip 34112 | |||
| City | NAPLES |
| Zip Code | 34112 |
| Specialty | PODIATRY |
| City + Specialty | NAPLES + PODIATRY |
Please comment or provide details below to improve the information on Michael J Petrocelli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.