Individual provider · Type 1 NPI
Earle M. Pescatore Jr., DO
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Palm Coast, FL
Practice location
61 Memorial Medical Pkwy Ste 3807
Palm Coast, FL 32164-5982
Fax (386) 359-2945
Mailing address
770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
Other practice locations
- 751 N Rutledge St, Springfield, IL 62702-4968 · (217) 545-8000
- 2021 E Commercial Blvd, Suite 305, Fort Lauderdale, FL 33308-3763 · (954) 734-1298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician | 207VG0400X | OS11075 (FL) |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary | 207VF0040X | OS11075 (FL) |
| Obstetrics & Gynecology Physician | 207V00000X | 036102614 (IL) |
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…
Another provider at this address
About NPI 1336147693
Earle M. Pescatore Jr., DO's National Provider Identifier is 1336147693, issued on Jul 11, 2005. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Palm Coast, FL. The record was last updated on Oct 6, 2025.