Most Relevant Information
Provider Data
| NPI Number: | 1003507047 |
| Provider Name: | NICHOLAS F PALLANGO LDO |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | DO7023 |
Most Important Dates
| Enumeration Date: | 05/19/2023 |
| Last Updated: | 05/19/2023 |
Provider Practice Location
3200 NW 79TH ST
MIAMI
FL
331474600
Practice Location Phone/Fax
| Phone: | 3059138714 |
| Fax: |
Provider Mailing Location
3200 NW 79TH ST
MIAMI
FL
331474600
Provider Mailing Phone/Fax
| Phone: | 3059138714 |
| Fax: |