Pennachio & Fishman M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PENNACHIO & FISHMAN M.D., P.A.

Practice address

14244 State Road 50
Clermont, FL 34711-8003

Phone

(352) 394-7137

NPI assigned

May 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Pennachio

Title

MD

Phone

(352) 394-7137

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gustavo C Munguba, M.D., PH.D.

  • Ophthalmology Physician
  • Fruitland Park, FL
  • NPI 1093101834
  NPD
• Glenn D Pieschke, OD

  • Optometrist
  • Fruitland Park, FL
  • NPI 1639139439
  NPD
• Sonya Braudway, O.D.

  • Optometrist
  • Winter Haven, FL
  • NPI 1043282387
  NPD (past)
• Anjali Gupta

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Eustis, FL
  • NPI 1760414122
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407067838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14244 STATE ROAD 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118003",
            "telephone_number": "352-394-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14244 STATE ROAD 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118003",
            "telephone_number": "352-394-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNACHIO & FISHMAN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNACHIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-394-7137"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros Pellegrino
• Adrian Pena, C.S.F.A.
• Carlos Alberto Pena, PT
• Jose Luis Penaloza Guevara, DMD
• James Pendarvis
• Jaqueline Rocha Pereira
• Mario Rene Perez-Rodriguez, M.D.
• Amanda Grace Perez, DDS
• Camilo Perez
• Gloria Jordan Perez, DO

• Ophthalmology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.