Massaro, Anthony

Massaro, Anthony is an individual health care provider with primary practice located at 7711 Baymeadows Rd E Ste 7 , Jacksonville FL 32256-9110. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Massaro, Anthony can be contacted via phone (904) 565-1505.

Contact Information

Primary practice address
7711 Baymeadows Rd E Ste 7 Jacksonville FL 32256-9110
Phone: (904) 565-1505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN20307 Florida
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN20307 Florida

Profile Details

NPI number 1003175498
LBN Legal business name Massaro, Anthony
Credentials MD, DMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2012
Last updated Mar 22nd, 2024 - about 2 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 1003175498 NPPES
Florida MEDICAID 712859

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