Provider Demographics
NPI:1386908929
Name:PATRICK P CINELLI MD PA
Entity type:Organization
Organization Name:PATRICK P CINELLI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:P
Authorized Official - Last Name:CINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-789-2700
Mailing Address - Street 1:2626 TAMPA RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3155
Mailing Address - Country:US
Mailing Address - Phone:727-789-2700
Mailing Address - Fax:727-789-3541
Practice Address - Street 1:2626 TAMPA RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3155
Practice Address - Country:US
Practice Address - Phone:727-789-2700
Practice Address - Fax:727-789-3541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL047136400Medicaid
FLD19621Medicare UPIN