| Doctor Name: | DR. ISIDRO GUILLERMO PENTZKE |
| NPI Number: | 1174716799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | M67383 |
| Business Practice Address: | 6309 S Dixie Hwy West Palm Beach, FL - 334054328 |
| Business Phone Number: | 5615850640 |
| Business Fax Number: | 5615850659 |
| Mailing Address: | 6309 S Dixie Hwy, WEST PALM BEACH |
| State: | FL |
| Postal Code: | 334054328 |
| Phone Number: | 5615850640 |
| Fax Number: | 5615850659 |
| NPI Enumeration Date: | 08/27/2007 |
| NPI Last Update Date: | 02/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | M67383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |