Addonizio, Michael A

Addonizio, Michael A is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805-3019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Addonizio, Michael A can be contacted via phone (863) 680-7000.

Contact Information

Primary practice address
1600 Lakeland Hills Blvd Lakeland FL 33805-3019
Phone: (863) 680-7000
Fax: (866) 264-8519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME77311 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME77311 Florida

Profile Details

NPI number 1942207469
LBN Legal business name Addonizio, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 21st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942207469 NPPES
Florida Other 46533 BCBS OF FLORIDA
Florida MEDICAID 268845000 BCBS OF FLORIDA
Florida Other P00105239 BCBS OF FLORIDA

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