Individual provider Active NPI

Marcelo Eduardo Pal, M.D.

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1508006305
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME 105655 Issued in FL
Practice address
808 Brickell Key Dr Apt 3005
Miami, FL 33131-2691
Phone
(305) 856-3243
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 235537 NY
Anesthesiology Physician 207L00000X ME 105655 FL Primary
Anesthesiology Physician 207L00000X 235537 NY

Addresses

Primary practice location

808 Brickell Key Dr Apt 3005
Miami, FL 33131-2691

Mailing address

808 Brickell Key Dr Apt 3005
Miami, FL 33131-2691
Phone (305) 856-3243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000742 FL Practitioner - Anesthesiology 8022026541 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 105655FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Sep 17, 2011 Accepting new patients
Lake Mary Surgery Center LLC Current Accepting new patients
Anesthesiology Professional Services, Inc. Anesthesiology CurrentSince Mar 28, 2010 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients

Locations

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

4919 Memorial Hwy
Ste 200
Tampa, FL 33634

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1508006305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BRICKELL KEY DR APT 3005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312691",
            "telephone_number": "305-856-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BRICKELL KEY DR APT 3005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312691",
            "telephone_number": "305-856-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAL",
        "first_name": "MARCELO",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "235537",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 105655",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "235537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.