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Anthony Carmine Picchiello, MD
Specialist in Port Orange, Florida
NPI 1891776399

Anthony Carmine Picchiello is a Specialist based in Port Orange, FL. Anthony Carmine Picchiello practices in Port Orange, FL and has the professional credentials of MD. The NPI Number for Anthony Carmine Picchiello is 1891776399 and holds a License No. ME0067232 (Florida).

The current practice location address for Anthony Carmine Picchiello is 3951 South Nova Rd, Port Orange, FL and can be reached out via phone at 386-763-4484 and via fax at 386-763-1288.

Location: 3951 South Nova Rd, Port Orange, FL, 32127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891776399
Provider Name
Anthony Carmine Picchiello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3951 South Nova Rd, Port Orange, FL, 32127
Phone Number
386-763-4484
Fax Number
386-763-1288
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26244 01 FL BC/BS
277195 01 FL HEALTHEASE
institution
Provider Business Practice Location Address Details
Address
3951 South Nova Rd
City
Port Orange
State
Florida
Zip
32127
Phone Number
386-763-4484
Fax Number
386-763-1288
person
Provider Business Mailing Address Details
Address
3951 South Nova Rd
City
Port Orange
State
Florida
Zip
32127
Phone Number
386-763-4484
Fax Number
386-763-1288
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0067232 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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